45327 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 45327

1 of 1 payer prior-auth lists that name 45327 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas.

PayerPlanStatePrior authConditionsSinceSource
Blue Cross and Blue Shield of TexasTexas PA exemption (gold card), outpatient, fully insuredTXprior auth requiredGold-card exemption availableJul 1, 2026BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range)

Payer coverage policies that name 45327

45327 appears in 2 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaRisankizumab-rzaa (Skyrizi) (1009)listed, no stance (range 45300-45393)Jul 1, 2026payer document
AetnaUrological Supplies (0533)listed, no stance (range 45000-45999)Jul 30, 2026payer document

Medicaid fee-for-service

  • AZ: $3490.64 (asc), effective Oct 1, 2026
  • CO: $75.58 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $85.46 (physician, non-facility), effective Jan 1, 2026
  • IL: $82.16 (practitioner), effective Apr 1, 2024
  • IN: $88.06 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $66.31 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $4315.63 (asc), effective Jan 1, 2026
  • LA: $95.01 (professional), effective Jul 1, 2025
  • MA: $2156.79 (asc), effective May 1, 2026
  • MS: $3394.42 (comprehensive, facility), effective Oct 1, 2025
  • ND: $2544.07 (physician, facility), effective Aug 1, 2026
  • NE: $637.00 (asc), effective Jul 1, 2024
  • NY: $53.92 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $67.43 (physician), effective Jan 1, 2001
  • OK: $3937.24 (asc), effective Jan 1, 2026
  • TX: $2179.56 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $95.20 (medical), effective Jul 1, 2026
  • VT: $4713.82 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $415.35 (asc), effective Jul 1, 2026
  • WY: $2684.77 (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.