93565 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 93565

Payer coverage policies that name 93565

93565 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaNerve Blocks (0863)listed, no stance (range 92920-93799)Jul 23, 2026payer document

Medicaid fee-for-service

  • AZ: $27.20 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $21.30 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $25.10 (physician, non-facility), effective Jan 1, 2026
  • IL: $26.88 (practitioner), effective Apr 1, 2024
  • IN: $19.79 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $16.41 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $37.68 (physician, facility), effective Jan 1, 2026
  • LA: $22.28 (professional), effective Feb 1, 2013
  • MA: $19.19 (physician_medicine), effective May 1, 2024
  • MS: $22.05 (comprehensive), effective Jul 1, 2026
  • ND: $27.04 (physician), effective Aug 1, 2026
  • NE: $47.70 (physician, non-facility), effective Jul 1, 2026
  • NY: $16.91 (physician_medicine, facility), effective Jul 1, 2026
  • OH: $23.53 (physician), effective Jan 1, 2024
  • OK: $20.75 (physician, facility), effective Jul 1, 2026
  • TX: $22.45 (miscellaneous_other_professionals_portable_x_ray_radiologica, Miscellaneous Other Professionals - Portable X-Ray, Radiological Lab, Physiological Lab, non-facility), effective Sep 1, 2025
  • VA: $22.86 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $13.19 (physician, facility), effective Jul 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.