45337 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 45337

Payer coverage policies that name 45337

45337 appears in 4 coverage policies from Aetna, Centene.

PayerPolicyRole in policyReviewedDocument
AetnaColonoscopy, Colorectal Cancer Screening, and Related Procedures (0516)covered if criteria are met (range 45330-45350)Aug 20, 2026payer document
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
CenteneAnesthesiology Services for Gastrointestinal Endoscopy (CP.MP.161)covered if criteria are metMay 1, 2019payer document

Medicaid fee-for-service

  • AZ: $297.60 (asc), effective Oct 1, 2026
  • CO: $89.38 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $77.89 (physician, non-facility), effective Jan 1, 2026
  • IL: $111.13 (practitioner), effective Apr 1, 2024
  • IN: $87.19 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $77.62 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $498.31 (asc), effective Jan 1, 2026
  • LA: $182.30 (asc), effective Jul 1, 2012
  • MA: $328.08 (asc), effective May 1, 2026
  • MS: $391.58 (comprehensive, facility), effective Oct 1, 2025
  • ND: $293.76 (physician, facility), effective Aug 1, 2026
  • NE: $413.00 (asc), effective Jul 1, 2024
  • NY: $67.74 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $116.28 (physician), effective Jan 1, 2024
  • OK: $454.62 (asc), effective Jan 1, 2026
  • TX: $328.50 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $86.52 (medical), effective Jul 1, 2026
  • VT: $722.08 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $308.28 (asc), effective Jul 1, 2026
  • WY: $411.26 (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.