44705 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 44705

Payer coverage policies that name 44705

44705 appears in 10 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Shield of California, BlueCross BlueShield of South Carolina, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

PayerPolicyRole in policyReviewedDocument
AetnaAlzheimer's Disease: Experimental, Investigational, or Unproven Treatments (0788)not coveredNov 19, 2025payer document
AetnaEating Disorders (0511)not coveredAug 4, 2026payer document
AetnaFecal Bacteriotherapy (0844)covered if criteria are metMar 25, 2026payer document
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 44005-44799)Jul 1, 2026payer document
AetnaObstructive Sleep Apnea in Adults (0004)listed, no stanceOct 6, 2026payer document
Blue Cross & Blue Shield of MississippiFecal Microbiota Transplantationlisted, no stancepayer document
Blue Cross Blue Shield of MassachusettsFecal Micobiota Transplantation (682)listed, no stancepayer document
Blue Shield of California| Fecal Microbiota Transplantation (2.01.92)listed, no stancepayer document
BlueCross BlueShield of South CarolinaFecal Microbiota Transplantation (CAM 20192)listed, no stanceJul 1, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Fecal Microbiota Transplantation (FMT) (SUR703.049)listed, no stanceJun 15, 2025payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • AZ: $42.54 (outpatient_hospital, RF133), effective Oct 1, 2025
  • IN: $55.37 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KY: $59.01 (physician, facility), effective Jan 1, 2026
  • MA: $52.90 (physician_surgery, facility), effective May 1, 2024
  • ND: $126.17 (physician), effective Aug 1, 2026
  • NE: $59.28 (physician, non-facility), effective Jul 1, 2026
  • OH: $84.78 (physician), effective Jan 1, 2013
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $35.74 (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.