Payer policies › CPT 4778547785 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 47785 Payer coverage policies that name 47785 47785 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Double Balloon Enteroscopy (0737) listed, no stance Nov 13, 2025 payer document
Medicaid fee-for-service AZ: $3282.38 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $2528.24 (chp_plus, non-facility), effective Jul 1, 2026 FL: $2311.70 (physician, non-facility), effective Jan 1, 2026 IL: $2286.75 (practitioner), effective Apr 1, 2024 IN: $2409.20 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $752.51 (default, Exempt Physician), effective Aug 1, 2024 KY: $1133.18 (physician, facility), effective Jan 1, 2026 LA: $2640.07 (professional), effective Jul 1, 2025 MA: $2358.08 (physician_surgery), effective May 1, 2024 MS: $2480.54 (comprehensive), effective Jul 1, 2026 ND: $3028.72 (physician), effective Aug 1, 2026 NE: $585.91 (physician, non-facility), effective Jul 1, 2026 NY: $1358.02 (physician_surgery, facility), effective Jul 1, 2026 OH: $1659.54 (physician), effective Jan 1, 2024 OK: $2617.68 (physician, non-facility), effective Jul 1, 2026 TX: $350.15 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $2574.94 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1706.33 (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.