48146 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 48146

Medicaid fee-for-service

  • AZ: $1920.82 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $1172.91 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $1877.05 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025
  • IL: $1438.70 (practitioner), effective Jul 1, 2026
  • IN: $1408.99 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $1014.07 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $1126.58 (physician, facility), effective Jan 1, 2026
  • LA: $306.64 (professional), effective Jul 1, 2025
  • MA: $1384.73 (physician_surgery), effective May 1, 2024
  • MS: $1465.41 (comprehensive), effective Jul 1, 2026
  • ND: $1809.50 (physician), effective Aug 1, 2026
  • NE: $2445.30 (physician, non-facility), effective Jul 1, 2026
  • NY: $836.42 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $1122.95 (physician), effective Jan 1, 2024
  • OK: $1549.09 (physician, non-facility), effective Jul 1, 2026
  • TX: $218.68 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026
  • VA: $1531.54 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $1021.43 (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.