10160 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 10160

Payer coverage policies that name 10160

10160 appears in 3 coverage policies from Aetna, Regence.

PayerPolicyRole in policyReviewedDocument
AetnaSkin and Soft Tissue Substitutes (0244)not covered (range 10040-19499)Jul 29, 2026payer document
AetnaUltrasound Guidance – Selected Indications (0952)not coveredApr 27, 2026payer document
RegenceSurgical Site of Care – Hospital Outpatient (Utilization Management 19)listed, no stanceMay 1, 2026payer document

Medicaid fee-for-service

  • AZ: $47.02 (asc), effective Oct 1, 2026
  • CO: $83.69 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $71.18 (physician, facility), effective Jan 1, 2026
  • IL: $35.95 (podiatrist), effective Apr 1, 2024
  • IN: $75.03 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $195.00 (asc, facility), effective Aug 1, 1982
  • KY: $83.88 (asc), effective Jan 1, 2026
  • LA: $102.14 (professional), effective Jul 1, 2025
  • MA: $70.86 (asc), effective May 1, 2026
  • MS: $64.70 (comprehensive, facility), effective Oct 1, 2025
  • ND: $82.97 (physician, facility), effective Aug 1, 2026
  • NE: $45.51 (physician, facility), effective Jul 1, 2026
  • NY: $43.60 (nurse_practitioner, facility), effective Jul 1, 2026
  • OH: $48.28 (physician, facility), effective Jan 1, 2024
  • OK: $76.53 (asc), effective Jan 1, 2026
  • TX: $67.83 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $79.28 (medical, facility), effective Jul 1, 2026
  • VT: $315.64 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $55.04 (physician, facility), effective Jul 1, 2026
  • WY: $179.77 (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.