Payer policies › CPT 4701547015 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 47015 Payer coverage policies that name 47015 47015 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Inpatient Admission Prior to Surgery (Preop Days) (0255) listed, no stance May 13, 2026 payer document
Medicaid fee-for-service AZ: $1192.80 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $947.42 (chp_plus, non-facility), effective Jul 1, 2026 FL: $858.80 (physician, non-facility), effective Jan 1, 2026 IL: $819.70 (practitioner), effective Apr 1, 2024 IN: $875.04 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $450.00 (asc, facility), effective Jan 1, 1995 KY: $466.14 (physician, facility), effective Jan 1, 2026 LA: $948.05 (professional), effective Jul 1, 2025 MA: $859.42 (physician_surgery), effective May 1, 2024 MS: $913.60 (comprehensive), effective Jul 1, 2026 ND: $1133.99 (physician), effective Aug 1, 2026 NE: $227.85 (physician, non-facility), effective Jul 1, 2026 NY: $512.55 (physician_surgery, facility), effective Jul 1, 2026 OH: $605.18 (physician), effective Jan 1, 2024 OK: $966.15 (physician, non-facility), effective Jul 1, 2026 TX: $130.08 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $956.60 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $639.80 (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.