45342 CPT® code: payer coverage and prior authorization45342 appears in 7 coverage policies from Aetna, Centene.
| 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 | Endoscopic Ultrasonography (0446) | covered if criteria are met | Jul 22, 2026 | payer document |
| Aetna | Prostate Biopsy (0698) | covered if criteria are met | Mar 2, 2026 | payer document |
| Aetna | Risankizumab-rzaa (Skyrizi) (1009) | listed, no stance (range 45300-45393) | Jul 1, 2026 | payer document |
| Aetna | Transrectal Ultrasound (0001) | listed, no stance | Mar 5, 2026 | payer document |
| Aetna | Urological Supplies (0533) | listed, no stance (range 45000-45999) | Jul 30, 2026 | payer document |
| Centene | Anesthesiology Services for Gastrointestinal Endoscopy (CP.MP.161) | covered if criteria are met | May 1, 2019 | 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.