44403 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 44403

Payer coverage policies that name 44403

44403 appears in 6 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Centene.

PayerPolicyRole in policyReviewedDocument
AetnaColonoscopy, Colorectal Cancer Screening, and Related Procedures (0516)covered if criteria are met (range 44401-44408)Aug 20, 2026payer document
AetnaExhaled Breath Tests (0691)listed, no stance (range 44388-44408)Oct 16, 2025payer document
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 44005-44799)Jul 1, 2026payer document
AetnaRisankizumab-rzaa (Skyrizi) (1009)listed, no stance (range 44380-44408)Jul 1, 2026payer document
Blue Cross & Blue Shield of MississippiColonoscopy Flexible Sigmoidoscopy And Ct Colonography (L.2.04.403)covered if criteria are metpayer document
CenteneAnesthesiology Services for Gastrointestinal Endoscopy (CP.MP.161)covered if criteria are metMay 1, 2019payer document

Medicaid fee-for-service

  • AZ: $383.41 (asc), effective Oct 1, 2026
  • CO: $66.97 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $206.78 (physician, non-facility), effective Jan 1, 2026
  • IL: $205.49 (practitioner), effective Apr 1, 2024
  • IN: $231.24 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $281.41 (asc, facility), effective Jan 1, 2015
  • KY: $641.09 (asc), effective Jan 1, 2026
  • LA: $243.75 (professional), effective Jul 1, 2025
  • MA: $431.31 (asc), effective May 1, 2026
  • MS: $506.37 (comprehensive, facility), effective Oct 1, 2025
  • ND: $377.92 (physician, facility), effective Aug 1, 2026
  • NE: $533.52 (physician, non-facility), effective Jul 1, 2026
  • NY: $98.98 (physician_surgery, facility), effective Jul 1, 2026
  • OK: $238.10 (physician, non-facility), effective Jul 1, 2026
  • TX: $429.26 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VT: $929.15 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $308.28 (asc), effective Jul 1, 2026
  • WY: $529.20 (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.