43341 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 43341

Medicaid fee-for-service

  • AZ: $1414.55 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $935.31 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $1040.38 (physician, non-facility), effective Jan 1, 2026
  • IL: $1082.10 (practitioner), effective Jul 1, 2026
  • IN: $1038.32 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $816.50 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $751.23 (physician, facility), effective Jan 1, 2026
  • LA: $227.04 (professional), effective Jul 1, 2025
  • MA: $1011.46 (physician_surgery), effective May 1, 2024
  • MS: $1113.20 (comprehensive), effective Jul 1, 2026
  • ND: $1370.92 (physician), effective Aug 1, 2026
  • NE: $369.90 (physician, non-facility), effective Jul 1, 2026
  • NY: $672.90 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $769.73 (physician), effective Jul 1, 2008
  • OK: $1175.90 (physician, non-facility), effective Jul 1, 2026
  • TX: $157.59 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026
  • VA: $1158.85 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $771.66 (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.