47556 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 47556

Medicaid fee-for-service

  • AZ: $4410.88 (asc), effective Oct 1, 2026
  • CO: $298.23 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $264.97 (physician, non-facility), effective Jan 1, 2026
  • IL: $258.69 (practitioner), effective Apr 1, 2024
  • IN: $287.22 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $268.16 (default, Exempt Physician), effective Jun 1, 2006
  • KY: $6698.53 (asc), effective Jan 1, 2026
  • LA: $265.13 (asc), effective Jul 1, 2012
  • MA: $2764.23 (asc), effective May 1, 2026
  • MS: $5251.32 (comprehensive, facility), effective Oct 1, 2025
  • ND: $3948.79 (physician, facility), effective Aug 1, 2026
  • NE: $1662.00 (asc), effective Jul 1, 2024
  • NY: $217.22 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $295.18 (physician), effective Jan 1, 2004
  • OK: $6111.20 (asc), effective Jan 1, 2026
  • TX: $2819.34 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $295.14 (medical), effective Jul 1, 2026
  • VT: $8253.65 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $500.36 (asc), effective Jul 1, 2026
  • WY: $4700.90 (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.