47362 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 47362

Medicaid fee-for-service

  • AZ: $1450.82 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $1128.07 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $1040.64 (physician, non-facility), effective Jan 1, 2026
  • IL: $1021.85 (practitioner), effective Apr 1, 2024
  • IN: $1069.06 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $463.06 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $463.36 (physician, facility), effective Jan 1, 2026
  • LA: $236.14 (professional), effective Jul 1, 2025
  • MA: $1054.11 (physician_surgery), effective May 1, 2024
  • MS: $1112.32 (comprehensive), effective Jul 1, 2026
  • ND: $1379.93 (physician), effective Aug 1, 2026
  • NE: $214.53 (physician, non-facility), effective Jul 1, 2026
  • NY: $636.06 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $757.68 (physician), effective Jan 1, 2024
  • OK: $1175.35 (physician, non-facility), effective Jul 1, 2026
  • TX: $157.62 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026
  • VA: $1159.14 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $775.29 (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.