15937 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 15937

Payer coverage policies that name 15937

15937 appears in 1 coverage policy from Aetna.

Medicaid fee-for-service

• AZ: $662.63 (asc), effective Oct 1, 2026
• CO: $808.94 (chp_plus, non-facility), effective Jul 1, 2026
• FL: $715.15 (physician, non-facility), effective Jan 1, 2026
• IL: $749.20 (practitioner), effective Jul 1, 2026
• IN: $754.74 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
• KS: $367.97 (default, Exempt Physician), effective Aug 1, 2024
• KY: $1101.65 (asc), effective Jan 1, 2026
• LA: $217.00 (asc), effective Jul 1, 2012
• MA: $696.96 (asc), effective May 1, 2026
• MS: $784.87 (comprehensive, facility), effective Oct 1, 2025
• ND: $649.43 (physician, facility), effective Aug 1, 2026
• NE: $413.00 (asc), effective Jul 1, 2024
• NY: $491.08 (physician_surgery, facility), effective Jul 1, 2026
• OH: $786.33 (physician), effective Jan 1, 2024
• OK: $1005.06 (asc), effective Jan 1, 2026
• TX: $709.01 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
• VA: $796.59 (medical), effective Jul 1, 2026
• VT: $1602.06 (outpatient_hospital_opps), effective Feb 1, 2026
• WA: $308.28 (asc), effective Jul 1, 2026
• WY: $912.46 (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.