19307 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 19307

Payer coverage policies that name 19307

19307 appears in 9 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaAcupuncture and Dry Needling (0135)listed, no stanceMar 25, 2026payer document
AetnaBreast Reconstructive Surgery (0185)listed, no stance (range 19300-19307)Apr 22, 2026payer document
AetnaCryoanalgesia and Therapeutic Cold (0297)listed, no stance (range 19301-19307)Apr 14, 2026payer document
AetnaElectrical Stimulation for Nausea, Vomiting, Motion Sickness and Other Selected Indications (0676)listed, no stanceOct 7, 2026payer document
AetnaExternal Breast Prosthesis (0097)listed, no stance (range 19305-19307)Jan 15, 2026payer document
AetnaHyperbaric Oxygen Therapy (HBOT) (0172)listed, no stance (range 19301-19307)Apr 21, 2026payer document
AetnaMagnetic Resonance Imaging (MRI) of the Breast (0105)listed, no stance (range 19300-19307)Aug 6, 2026payer document
AetnaNerve Blocks (0863)listed, no stance (range 19300-19307)Jul 23, 2026payer document
AetnaSkin and Soft Tissue Substitutes (0244)not covered (range 10040-19499)Jul 29, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in CO.

  • AZ: $1908.85 (asc), effective Oct 1, 2026
  • CO: $934.84 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $876.21 (physician, non-facility), effective Jan 1, 2026
  • IL: $828.33 (practitioner), effective Apr 1, 2024
  • IN: $889.76 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $1566.02 (asc, facility), effective Jan 1, 2023
  • KY: $2780.27 (asc), effective Jan 1, 2026
  • LA: $959.74 (professional), effective Jul 1, 2025
  • MA: $2047.63 (asc), effective May 1, 2026
  • MS: $2145.92 (comprehensive, facility), effective Oct 1, 2025
  • ND: $1638.97 (physician, facility), effective Aug 1, 2026
  • NE: $1548.68 (physician, non-facility), effective Jul 1, 2026
  • NY: $524.49 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $667.46 (physician), effective Jan 1, 2024
  • OK: $5979.50 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $139.88 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025
  • VA: $975.98 (medical), effective Jul 1, 2026
  • VT: $5155.83 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $656.62 (physician, facility), effective Jul 1, 2026
  • WY: $2936.53 (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.