Payer policies › CPT 9356993569 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 93569 Payer coverage policies that name 93569 93569 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Nerve Blocks (0863) listed, no stance (range 92920-93799) Jul 23, 2026 payer document
Medicaid fee-for-service AZ: $38.01 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $29.96 (health_first_colorado), effective Jul 1, 2026 FL: $8.62 (physician, non-facility), effective Jan 1, 2026 IL: $25.42 (practitioner), effective Apr 1, 2024 IN: $28.96 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $18.53 (default, Exempt Physician), effective Aug 1, 2024 KY: $31.68 (physician, facility), effective Jan 1, 2026 LA: $33.09 (professional), effective Jan 1, 2023 MA: $27.53 (physician_medicine), effective May 1, 2024 MS: $31.69 (comprehensive), effective Jul 1, 2026 ND: $40.18 (physician), effective Aug 1, 2026 NE: $48.25 (physician, non-facility), effective Jul 1, 2026 NY: $20.13 (physician_medicine, facility), effective Jul 1, 2026 OH: $28.83 (physician), effective Jan 1, 2023 OK: $29.41 (physician, facility), effective Jul 1, 2026 TX: $29.40 (miscellaneous_other_professionals_portable_x_ray_radiologica, Miscellaneous Other Professionals - Portable X-Ray, Radiological Lab, Physiological Lab, non-facility), effective Sep 1, 2025 VA: $28.07 (medical, facility), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $18.92 (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.