Payer policies › CPT 4381043810 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 43810 Payer coverage policies that name 43810 43810 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Nutritional Support (0061) listed, no stance (range 43810-43832) Jan 15, 2026 payer document
Medicaid fee-for-service Prior authorization required or conditional in ND.
AZ: $1041.83 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $561.19 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1022.05 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025 IL: $719.52 (practitioner), effective Apr 1, 2024 IN: $763.93 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $552.08 (default, Exempt Physician), effective Aug 1, 2024 KY: $537.88 (physician, facility), effective Jan 1, 2026 LA: $166.20 (professional), effective Jul 1, 2025 MA: $746.48 (physician_surgery), effective May 1, 2024 MS: $793.40 (comprehensive), effective Jul 1, 2026 ND: $976.65 (physician), effective Aug 1, 2026 NE: $1296.74 (physician, non-facility), effective Jul 1, 2026 NY: $452.74 (physician_surgery, facility), effective Jul 1, 2026 OH: $543.48 (physician), effective Jan 1, 2024 OK: $838.39 (physician, non-facility), effective Jul 1, 2026 TX: $112.61 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $828.13 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $551.32 (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.