Payer policies › CPT 3176631766 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 31766 Payer coverage policies that name 31766 31766 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: $1782.75 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1406.53 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1297.81 (physician, non-facility), effective Jan 1, 2026 IL: $1244.04 (practitioner), effective Apr 1, 2024 IN: $1307.95 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $1234.32 (default), effective Aug 1, 2024 KY: $1366.42 (physician, facility), effective Jan 1, 2026 LA: $1446.47 (professional), effective Feb 1, 2013 MA: $1273.53 (physician_surgery), effective May 1, 2024 MS: $1393.61 (comprehensive), effective Jul 1, 2026 ND: $1702.48 (physician), effective Aug 1, 2026 NE: $369.90 (physician, non-facility), effective Jul 1, 2026 OH: $1301.36 (physician), effective Jan 1, 2000 OK: $1470.39 (physician, non-facility), effective Jul 1, 2026 TX: $206.41 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $1445.60 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $958.37 (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.