Payer policies › CPT 4351043510 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 43510 Payer coverage policies that name 43510 43510 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Nutritional Support (0061) listed, no stance Jan 15, 2026 payer document
Medicaid fee-for-service AZ: $343.75 (asc), effective Oct 1, 2026 CO: $523.78 (chp_plus, non-facility), effective Jul 1, 2026 FL: $702.94 (physician, non-facility), effective Jan 1, 2026 IL: $670.63 (practitioner), effective Apr 1, 2024 IN: $716.54 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $450.00 (asc, facility), effective Aug 1, 1982 KY: $485.98 (asc), effective Jan 1, 2026 LA: $775.51 (professional), effective Jul 1, 2025 MA: $701.24 (physician_surgery), effective May 1, 2024 MS: $747.86 (comprehensive), effective Jul 1, 2026 ND: $928.59 (physician), effective Aug 1, 2026 NE: $238.21 (physician, non-facility), effective Jul 1, 2026 NY: $448.63 (physician_surgery, facility), effective Jul 1, 2026 OH: $481.22 (physician), effective Jan 1, 2000 OK: $790.84 (physician, non-facility), effective Jul 1, 2026 TX: $111.80 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $782.99 (medical), effective Jul 1, 2026 VT: $704.24 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $523.81 (physician, facility), effective Jul 1, 2026 WY: $401.10 (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.