Payer policies › CPT 1585315853 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 15853 Payer coverage policies that name 15853 15853 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Skin and Soft Tissue Substitutes (0244) not covered (range 10040-19499) Jul 29, 2026 payer document
Medicaid fee-for-service AZ: $11.51 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $9.58 (health_first_colorado), effective Jul 1, 2026 FL: $9.55 (physician, non-facility), effective Jan 1, 2026 IL: $7.43 (practitioner), effective Apr 1, 2024 IN: $8.50 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $5.35 (default, Exempt Physician), effective Aug 1, 2024 KY: $8.81 (physician, facility), effective Jan 1, 2026 LA: $9.16 (professional), effective Jan 1, 2023 MA: $9.04 (physician_surgery), effective May 1, 2024 MS: $10.58 (comprehensive), effective Jul 1, 2026 MT: $10.99 (optometric, facility), effective Jul 1, 2025 ND: $14.64 (physician), effective Aug 1, 2026 NE: $11.85 (physician, non-facility), effective Jul 1, 2026 OH: $8.24 (physician), effective Jan 1, 2023 OK: $11.13 (physician, non-facility), effective Jul 1, 2026 TX: $9.82 (audiologist, Audiologist, facility), effective Mar 1, 2025 VA: $11.57 (medical, facility), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $8.41 (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.