Payer policies › CPT 3154631546 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 31546 1 of 1 payer prior-auth lists that name 31546 require prior authorization or set conditions: Blue Cross and Blue Shield of Illinois.
Payer Plan State Prior auth Conditions Since Source Blue Cross and Blue Shield of Illinois Blue Cross Community MMAI (Medicare-Medicaid Alignment Initiative) IL prior auth required Jan 1, 2023 Procedure Code List, Effective 1/1/2025
Payer coverage policies that name 31546 31546 appears in 2 coverage policies from Aetna, Blue Cross NC.
Payer Policy Role in policy Reviewed Document Aetna Voice Therapy (0646) listed, no stance (range 31505-31592) 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
Recent prior-auth changes Apr 1, 2026: PA removed, Blue Cross and Blue Shield of Illinois Apr 1, 2026: PA removed, Blue Cross and Blue Shield of Illinois Medicaid fee-for-service AZ: $1715.49 (asc), effective Oct 1, 2026 CO: $443.22 (chp_plus, non-facility), effective Jul 1, 2026 FL: $358.22 (physician, non-facility), effective Jan 1, 2026 IL: $536.76 (practitioner), effective Apr 1, 2024 IN: $418.14 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $225.00 (asc, facility), effective Jan 1, 2005 KY: $2392.56 (asc), effective Jan 1, 2026 LA: $443.16 (professional), effective Jul 1, 2025 MA: $1611.51 (asc), effective May 1, 2026 MS: $1940.67 (comprehensive, facility), effective Oct 1, 2025 ND: $1410.42 (physician, facility), effective Aug 1, 2026 NE: $1000.00 (asc), effective Jul 1, 2024 NY: $268.89 (physician_surgery, facility), effective Jul 1, 2026 OH: $430.61 (physician), effective Jan 1, 2005 OK: $2182.78 (asc), effective Jan 1, 2026 TX: $1630.12 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023 VA: $399.02 (medical), effective Jul 1, 2026 VT: $5479.84 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $339.40 (asc), effective Jul 1, 2026 WY: $3121.07 (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.