Payer policies › CPT 3156031560 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 31560 1 of 1 payer prior-auth lists that name 31560 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 31560 31560 appears in 3 coverage policies from Aetna, Blue Cross NC.
Payer Policy Role in policy Reviewed Document Aetna Coblation (0475) listed, no stance Jul 2, 2026 payer 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: $253.24 (chp_plus, non-facility), effective Jul 1, 2026 FL: $214.40 (physician, non-facility), effective Jan 1, 2026 IL: $304.96 (practitioner), effective May 1, 2025 IN: $238.59 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $411.50 (asc, facility), effective Aug 1, 1982 KY: $2392.56 (asc), effective Jan 1, 2026 LA: $233.58 (asc), effective Jul 1, 2012 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: $202.00 (physician_surgery, facility), effective Jul 1, 2026 OH: $273.68 (physician), effective Jan 1, 2000 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: $228.59 (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.