44407 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 44407

Payer coverage policies that name 44407

44407 appears in 7 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
AetnaColonoscopy, Colorectal Cancer Screening, and Related Procedures (0516)covered if criteria are metAug 20, 2026payer document
AetnaEndoscopic Ultrasonography (0446)covered if criteria are metJul 22, 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: $187.55 (physician, non-facility), effective Jan 1, 2026
  • IL: $185.56 (practitioner), effective Apr 1, 2024
  • IN: $209.64 (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: $220.27 (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: $474.24 (physician, non-facility), effective Jul 1, 2026
  • NY: $98.98 (physician_surgery, facility), effective Jul 1, 2026
  • OK: $215.91 (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.