Payer policies › CPT 3178531785 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 31785 Payer coverage policies that name 31785 31785 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: $1943.46 (asc), effective Oct 1, 2026 CO: $878.05 (chp_plus, non-facility), effective Jul 1, 2026 FL: $742.23 (physician, non-facility), effective Jan 1, 2026 IL: $1056.21 (practitioner), effective Apr 1, 2024 IN: $826.32 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $385.28 (asc, facility), effective Aug 1, 1982 KY: $2953.46 (asc), effective Jan 1, 2026 LA: $174.52 (professional), effective Jul 1, 2025 MA: $800.58 (physician_surgery), effective May 1, 2024 MS: $776.98 (comprehensive), effective Jul 1, 2026 ND: $974.78 (physician), effective Aug 1, 2026 NE: $369.90 (physician, non-facility), effective Jul 1, 2026 NY: $529.25 (physician_surgery, facility), effective Jul 1, 2026 OH: $800.87 (physician), effective Jan 1, 2024 OK: $818.67 (physician, non-facility), effective Jul 1, 2026 TX: $108.25 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $796.01 (medical), effective Jul 1, 2026 VT: $4596.52 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $536.80 (physician, facility), effective Jul 1, 2026 WY: $2617.97 (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.