45331 CPT® code: payer coverage and prior authorization45331 appears in 8 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Centene, Premera Blue Cross, Regence, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Colonoscopy, Colorectal Cancer Screening, and Related Procedures (0516) | covered if criteria are met | Aug 20, 2026 | payer document |
| Aetna | Colonoscopy, Colorectal Cancer Screening, and Related Procedures (0516) | covered if criteria are met (range 45330-45350) | Aug 20, 2026 | payer document |
| Aetna | Risankizumab-rzaa (Skyrizi) (1009) | listed, no stance (range 45300-45393) | Jul 1, 2026 | payer document |
| Aetna | Urological Supplies (0533) | listed, no stance (range 45000-45999) | Jul 30, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Colonoscopy Flexible Sigmoidoscopy And Ct Colonography (L.2.04.403) | covered if criteria are met | payer document | |
| Centene | Anesthesiology Services for Gastrointestinal Endoscopy (CP.MP.161) | covered if criteria are met | May 1, 2019 | payer document |
| Premera Blue Cross | Preventive Care (Visualizes the rectum, sigmoid | CT colonography are positive, follow-up | listed, no stance | Sep 21, 2026 | payer document |
| Regence | Surgical Site of Care – Colonoscopy and Sigmoidoscopy (Utilization Management 20) | listed, no stance | Feb 1, 2026 | payer document |
| UnitedHealthcare | Preventive Care Services (MP.016.59) Preventive Benefit Instructions to the | benefits to apply. | listed, no stance | Jul 1, 2026 | payer document |
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.