47555 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 47555

Medicaid fee-for-service

  • AZ: $2915.22 (asc), effective Oct 1, 2026
  • CO: $263.36 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $233.79 (physician, non-facility), effective Jan 1, 2026
  • IL: $228.31 (practitioner), effective Apr 1, 2024
  • IN: $253.69 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $100.00 (asc, facility), effective Aug 1, 1982
  • KY: $4162.80 (asc), effective Jan 1, 2026
  • LA: $217.00 (asc), effective Jul 1, 2012
  • MA: $1170.63 (asc), effective May 1, 2026
  • MS: $1709.06 (comprehensive, facility), effective Oct 1, 2025
  • ND: $2453.97 (physician, facility), effective Aug 1, 2026
  • NE: $637.00 (asc), effective Jul 1, 2024
  • NY: $192.27 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $267.74 (physician), effective Jan 1, 2000
  • OK: $3797.81 (asc), effective Jan 1, 2026
  • TX: $1559.13 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $260.42 (medical), effective Jul 1, 2026
  • VT: $5026.67 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $415.35 (asc), effective Jul 1, 2026
  • WY: $2862.96 (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.