31632 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 31632

1 of 1 payer prior-auth lists that name 31632 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas.

PayerPlanStatePrior authConditionsSinceSource
Blue Cross and Blue Shield of TexasTexas PA exemption (gold card), outpatient, fully insuredTXprior auth requiredGold-card exemption availableJul 1, 2026BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range)

Payer coverage policies that name 31632

31632 appears in 2 coverage policies from Aetna, Blue Cross NC.

PayerPolicyRole in policyReviewedDocument
AetnaLung Imaging: Selected Techniques (0581)listed, no stanceSep 10, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 3011F-3210F)Mar 1, 2024payer document

Medicaid fee-for-service

  • AZ: $17.09 (outpatient_hospital, RF133), effective Oct 1, 2025
  • CO: $47.83 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $33.51 (physician, facility), effective Jan 1, 2026
  • IL: $32.94 (practitioner), effective Apr 1, 2024
  • IN: $37.25 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $225.00 (asc, facility), effective Jan 1, 2001
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $59.58 (professional), effective Feb 1, 2013
  • MA: $0.00 (asc), effective May 1, 2026
  • MS: $57.47 (comprehensive), effective Jul 1, 2026
  • ND: $75.47 (physician), effective Aug 1, 2026
  • NE: $26.14 (physician, facility), effective Jul 1, 2026
  • NY: $26.74 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $29.86 (physician, facility), effective Jan 1, 2024
  • OK: $39.08 (physician, facility), effective Jul 1, 2026
  • TX: $36.21 (physician, Physician, facility), effective Sep 1, 2026
  • VA: $37.33 (medical, facility), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $25.23 (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.