Payer policies › CPT 1000810008 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 10008 Payer coverage policies that name 10008 10008 appears in 3 coverage policies from Aetna, Premera Blue Cross.
Payer Policy Role in policy Reviewed Document Aetna Breast Biopsy Procedures (0269) listed, no stance May 14, 2026 payer document Aetna Radiofrequency Tumor Ablation (0492) listed, no stance (range 10004-10021) Oct 5, 2026 payer document Premera Blue Cross Preventive CareBreast cancer screening Ultrasound, mammography, and MRI covered if criteria are met Sep 21, 2026 payer document
Medicaid fee-for-service AZ: $91.70 (outpatient_hospital, RF133), effective Oct 1, 2025 CO: $59.50 (chp_plus, non-facility), effective Jul 1, 2026 FL: $36.63 (physician, facility), effective Jan 1, 2026 IL: $37.79 (practitioner), effective Jan 1, 2019 IN: $39.90 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $62.07 (default, Exempt Physician), effective Aug 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $136.73 (professional), effective Jan 1, 2019 MA: $0.00 (asc), effective May 1, 2026 MS: $113.73 (comprehensive), effective Jul 1, 2026 ND: $155.45 (physician), effective Aug 1, 2026 NE: $44.46 (physician, non-facility), effective Jul 1, 2026 NY: $33.64 (physician_surgery, facility), effective Jul 1, 2026 OH: $18.44 (physician, facility), effective Jan 1, 2019 OK: $42.68 (physician, facility), effective Jul 1, 2026 TX: $37.38 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025 VA: $40.80 (medical, facility), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $27.14 (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.