31500 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 31500

Payer coverage policies that name 31500

31500 appears in 1 coverage policy from Blue Cross NC.

Medicaid fee-for-service

• AZ: $72.67 (asc), effective Oct 1, 2026
• CO: $109.85 (chp_plus, non-facility), effective Jul 1, 2026
• FL: $103.39 (physician, non-facility), effective Jan 1, 2026
• IL: $97.85 (practitioner), effective Apr 1, 2024
• IN: $108.02 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
• KS: $225.00 (asc, facility), effective Aug 1, 1982
• KY: $126.41 (asc), effective Jan 1, 2026
• LA: $115.28 (professional), effective Jul 1, 2025
• MA: $87.46 (asc), effective May 1, 2026
• MS: $99.30 (comprehensive, facility), effective Oct 1, 2025
• ND: $74.52 (physician, facility), effective Aug 1, 2026
• NE: $111.14 (physician, non-facility), effective Jul 1, 2026
• NY: $53.15 (physician_surgery, facility), effective Jul 1, 2026
• OH: $94.64 (physician), effective Jan 1, 2024
• OK: $119.21 (physician, non-facility), effective Jul 1, 2026
• TX: $87.58 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
• VA: $115.16 (medical), effective Jul 1, 2026
• VT: $183.90 (outpatient_hospital_opps), effective Feb 1, 2026
• WA: $308.28 (asc), effective Jul 1, 2026
• WY: $104.75 (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.