43830 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 43830

Payer coverage policies that name 43830

43830 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaNutritional Support (0061)listed, no stance (range 43810-43832)Jan 15, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in ND.

  • AZ: $617.94 (asc), effective Oct 1, 2026
  • CO: $557.47 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $706.66 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025
  • IL: $493.54 (practitioner), effective Apr 1, 2024
  • IN: $531.25 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $400.00 (asc, facility), effective Aug 1, 1982
  • KY: $873.00 (asc), effective Jan 1, 2026
  • LA: $572.37 (professional), effective Jul 1, 2025
  • MA: $521.86 (physician_surgery), effective May 1, 2024
  • MS: $1457.24 (comprehensive), effective Jul 1, 2026
  • ND: $700.29 (physician), effective Aug 1, 2026
  • NE: $195.30 (physician, non-facility), effective Jul 1, 2026
  • NY: $312.11 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $377.30 (physician), effective Jan 1, 2024
  • OK: $1727.99 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $79.64 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026
  • VA: $585.65 (medical), effective Jul 1, 2026
  • VT: $1489.96 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $394.05 (physician, facility), effective Jul 1, 2026
  • WY: $848.61 (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.