Payer policies › CPT 4675146751 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 46751 Payer coverage policies that name 46751 46751 appears in 2 coverage policies from Aetna, Centene.
Payer Policy Role in policy Reviewed Document Aetna Fecal Incontinence (0611) listed, no stance (range 46750-46751) Sep 23, 2026 payer document Centene Fecal Incontinence Treatments (CP.MP.137) covered if criteria are met May 1, 2026 payer document
Medicaid fee-for-service Prior authorization required or conditional in VA.
AZ: $692.11 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $374.14 (chp_plus, non-facility), effective Jul 1, 2026 FL: $492.37 (physician, non-facility), effective Jan 1, 2026 IL: $466.81 (practitioner), effective Apr 1, 2024 IN: $508.86 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $268.00 (asc, facility), effective Aug 1, 1982 KY: $360.54 (physician, facility), effective Jan 1, 2026 LA: $541.90 (professional), effective Jul 1, 2025 MA: $501.88 (physician_surgery), effective May 1, 2024 MS: $543.56 (comprehensive), effective Jul 1, 2026 ND: $692.41 (physician), effective Aug 1, 2026 NE: $161.26 (physician, non-facility), effective Jul 1, 2026 NY: $283.69 (physician_surgery, facility), effective Jul 1, 2026 OH: $374.04 (physician), effective Jan 1, 2024 OK: $576.76 (physician, non-facility), effective Jul 1, 2026 TX: $82.14 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $575.23 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $390.42 (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.