Payer policies › CPT 1600016000 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 16000 Payer coverage policies that name 16000 16000 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: $35.57 (outpatient_hospital, RF133), effective Oct 1, 2025 CO: $39.07 (chp_plus, non-facility), effective Jul 1, 2026 IL: $45.80 (podiatrist), effective Apr 1, 2024 IN: $34.83 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $275.00 (asc, facility), effective Aug 1, 1982 KY: $0.00 (asc), effective Jan 1, 2026 LA: $63.22 (professional), effective Jul 1, 2025 MA: $0.00 (asc), effective May 1, 2026 MS: $72.97 (comprehensive), effective Jul 1, 2026 ND: $98.00 (physician), effective Aug 1, 2026 NE: $25.89 (physician, facility), effective Jul 1, 2026 NY: $20.81 (nurse_practitioner, facility), effective Jul 1, 2026 OH: $24.35 (physician, facility), effective Jan 1, 2024 OK: $37.56 (physician, facility), effective Jul 1, 2026 TX: $61.97 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, non-facility), effective Mar 1, 2025 VA: $36.46 (medical, facility), effective Jul 1, 2026 VT: $155.78 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $24.27 (physician, facility), effective Jul 1, 2026 WY: $88.73 (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.