45900 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 45900

Payer coverage policies that name 45900

45900 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaUrological Supplies (0533)listed, no stance (range 45000-45999)Jul 30, 2026payer document

Medicaid fee-for-service

  • AZ: $297.60 (asc), effective Oct 1, 2026
  • CO: $169.34 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $164.43 (physician, non-facility), effective Jan 1, 2026
  • IL: $148.41 (practitioner), effective Apr 1, 2024
  • IN: $161.30 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $225.00 (asc, facility), effective Aug 1, 1982
  • 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: $89.30 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $110.05 (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: $183.16 (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.