Payer policies › CPT 3172531725 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 31725 Payer coverage policies that name 31725 31725 appears in 1 coverage policy from Blue Cross NC.
Payer Policy Role in policy Reviewed 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: $80.19 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $63.12 (chp_plus, non-facility), effective Jul 1, 2026 FL: $54.81 (physician, non-facility), effective Jan 1, 2026 IL: $76.36 (practitioner), effective Apr 1, 2024 IN: $60.93 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $54.31 (default, Exempt Physician), effective Aug 1, 2024 KY: $98.98 (physician, facility), effective Jan 1, 2026 LA: $64.38 (professional), effective Feb 1, 2013 MA: $56.86 (physician_surgery), effective May 1, 2024 MS: $61.07 (comprehensive), effective Jul 1, 2026 ND: $76.22 (physician), effective Aug 1, 2026 NE: $259.34 (physician, non-facility), effective Jul 1, 2026 NY: $46.54 (physician_surgery, facility), effective Jul 1, 2026 OH: $80.29 (physician), effective Jan 1, 2024 OK: $64.01 (physician, non-facility), effective Jul 1, 2026 TX: $56.40 (physician, Physician, facility), effective Sep 1, 2026 VA: $61.05 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $41.09 (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.