Payer policies › CPT 4414744147 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 44147 Payer coverage policies that name 44147 44147 appears in 2 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Intravenous Iron Therapy (0575) listed, no stance (range 44005-44799) Jul 1, 2026 payer document Aetna Obsolete and Unreliable Tests and Procedures (0438) not covered (range 44140-44147) Jul 16, 2026 payer document
Medicaid fee-for-service AZ: $1968.94 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1508.42 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1367.95 (physician, non-facility), effective Jan 1, 2026 IL: $1356.38 (practitioner), effective Apr 1, 2024 IN: $1450.41 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $499.66 (default, Exempt Physician), effective Aug 1, 2024 KY: $967.88 (physician, facility), effective Jan 1, 2026 LA: $1572.45 (professional), effective Jul 1, 2025 MA: $1407.04 (physician_surgery), effective May 1, 2024 MS: $1473.50 (comprehensive), effective Jul 1, 2026 ND: $1813.25 (physician), effective Aug 1, 2026 NE: $369.90 (physician, non-facility), effective Jul 1, 2026 NY: $826.48 (physician_surgery, facility), effective Jul 1, 2026 OH: $991.30 (physician), effective Jan 1, 2024 OK: $1553.90 (physician, non-facility), effective Jul 1, 2026 TX: $217.56 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $1523.73 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1014.93 (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.