`90885` CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 90885

Payer coverage policies that name 90885

90885 appears in 1 coverage policy from Aetna.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Eye Movement Desensitization and Reprocessing (EMDR) Therapy (0583)	listed, no stance (range 90832-90899)	Sep 18, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

KY: $0.00 (asc), effective Jan 1, 2026
MA: $35.13 (physician_medicine), effective May 1, 2024
ND: $0.00 (physician), effective Aug 1, 2026
VA: $49.51 (medical), effective Jul 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

90885 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 90885

Payer coverage policies that name 90885

Medicaid fee-for-service

`90885` CPT® code: payer coverage and prior authorization