Payer policies › CPT 4753247532 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 47532 Medicaid fee-for-service AZ: $615.05 (outpatient_hospital, RF133), effective Oct 1, 2025 CO: $163.34 (chp_plus, non-facility), effective Jul 1, 2026 FL: $142.70 (physician, facility), effective Jan 1, 2026 IL: $141.97 (practitioner), effective Apr 1, 2024 IN: $160.65 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $361.72 (default, Exempt Physician), effective Aug 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $686.24 (professional), effective Jan 1, 2016 MA: $0.00 (asc), effective May 1, 2026 MS: $2719.01 (comprehensive), effective Jul 1, 2026 ND: $898.93 (physician), effective Aug 1, 2026 NE: $260.83 (physician, non-facility), effective Jul 1, 2026 NY: $119.99 (physician_surgery, facility), effective Jul 1, 2026 OH: $175.65 (physician, facility), effective Jan 1, 2024 OK: $164.84 (physician, facility), effective Jul 1, 2026 TX: $153.53 (physician, Physician, facility), effective Sep 1, 2026 VA: $158.28 (medical, facility), effective Jul 1, 2026 VT: $2780.04 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $106.06 (physician, facility), effective Jul 1, 2026 WY: $1583.39 (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.