44010 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 44010

Payer coverage policies that name 44010

44010 appears in 2 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaColonoscopy, Colorectal Cancer Screening, and Related Procedures (0516)covered if criteria are metAug 20, 2026payer document
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 44005-44799)Jul 1, 2026payer document

Medicaid fee-for-service

  • AZ: $867.14 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $561.19 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $608.64 (physician, non-facility), effective Jan 1, 2026
  • IL: $599.35 (practitioner), effective Jul 1, 2026
  • IN: $646.88 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $306.04 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $490.98 (physician, facility), effective Jan 1, 2026
  • LA: $138.00 (professional), effective Jul 1, 2025
  • MA: $627.58 (physician_surgery), effective May 1, 2024
  • MS: $654.82 (comprehensive), effective Jul 1, 2026
  • ND: $820.83 (physician), effective Aug 1, 2026
  • NE: $242.65 (physician, non-facility), effective Jul 1, 2026
  • NY: $388.33 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $481.79 (physician), effective Jan 1, 2000
  • OK: $691.27 (physician, non-facility), effective Jul 1, 2026
  • TX: $96.80 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026
  • VA: $677.95 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $456.54 (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.