10080 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 10080

Payer coverage policies that name 10080

10080 appears in 1 coverage policy from Aetna.

Medicaid fee-for-service

• AZ: $122.69 (asc), effective Oct 1, 2026
• CO: $100.82 (chp_plus, non-facility), effective Jul 1, 2026
• FL: $185.43 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025
• IL: $71.09 (practitioner), effective Apr 1, 2024
• IN: $81.08 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
• KS: $195.00 (asc, facility), effective Aug 1, 1982
• KY: $218.88 (asc), effective Jan 1, 2026
• LA: $192.64 (professional), effective Jul 1, 2025
• MA: $140.50 (asc), effective May 1, 2026
• MS: $153.97 (comprehensive, facility), effective Oct 1, 2025
• ND: $216.50 (physician, facility), effective Aug 1, 2026
• NE: $35.38 (physician, facility), effective Jul 1, 2026
• NY: $45.55 (physician_surgery, facility), effective Jul 1, 2026
• OH: $53.47 (physician, facility), effective Jan 1, 2024
• OK: $199.69 (asc), effective Jan 1, 2026
• TX: $174.14 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
• VA: $91.15 (medical, facility), effective Jul 1, 2026
• VT: $549.84 (outpatient_hospital_opps), effective Feb 1, 2026
• WA: $63.45 (physician, facility), effective Jul 1, 2026
• WY: $313.16 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.