Payer policies › CPT 4673546735 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 46735 Medicaid fee-for-service AZ: $2345.15 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $823.10 (chp_plus, non-facility), effective Jul 1, 2026 FL: $2038.66 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025 IL: $1609.71 (practitioner), effective Apr 1, 2024 IN: $1720.94 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $1228.37 (default, Exempt Physician), effective Aug 1, 2024 KY: $1154.58 (physician, facility), effective Jan 1, 2026 LA: $1861.36 (professional), effective Jul 1, 2025 MA: $1685.69 (physician_surgery), effective May 1, 2024 MS: $1800.20 (comprehensive), effective Jul 1, 2026 ND: $2237.18 (physician), effective Aug 1, 2026 NE: $369.90 (physician, non-facility), effective Jul 1, 2026 NY: $968.90 (physician_surgery, facility), effective Jul 1, 2026 OH: $1182.15 (physician), effective Jan 1, 2024 OK: $1904.04 (physician, non-facility), effective Jul 1, 2026 TX: $256.47 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $1886.00 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1262.60 (physician, facility), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.