Payer policies › CPT 3136531365 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 31365 Payer coverage policies that name 31365 31365 appears in 3 coverage policies from Aetna, Blue Cross NC.
Payer Policy Role in policy Reviewed Document Aetna Voice Prosthesis for Voice Rehabilitation Following Total Laryngectomy (0560) listed, no stance (range 31360-31365) Aug 26, 2026 payer document Aetna Voice Therapy (0646) listed, no stance Sep 9, 2026 payer document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 3011F-3210F) Mar 1, 2024 payer document
Medicaid fee-for-service AZ: $2597.59 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1346.86 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1748.94 (physician, non-facility), effective Jan 1, 2026 IL: $1728.03 (practitioner), effective Apr 1, 2024 IN: $1944.97 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $720.01 (default, Exempt Physician), effective Aug 1, 2024 KY: $1443.84 (physician, facility), effective Jan 1, 2026 LA: $408.28 (professional), effective Jul 1, 2025 MA: $1909.38 (physician_surgery), effective May 1, 2024 MS: $1854.98 (comprehensive), effective Jul 1, 2026 ND: $2364.47 (physician), effective Aug 1, 2026 NE: $2667.60 (physician, non-facility), effective Jul 1, 2026 NY: $1147.51 (physician_surgery, facility), effective Jul 1, 2026 OH: $1438.33 (physician), effective Jan 1, 2024 OK: $1958.95 (physician, non-facility), effective Jul 1, 2026 TX: $1862.26 (physician, Physician, facility), effective Sep 1, 2026 VA: $1919.85 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1306.55 (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.