49082 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 49082

1 of 1 payer prior-auth lists that name 49082 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas.

PayerPlanStatePrior authConditionsSinceSource
Blue Cross and Blue Shield of TexasTexas PA exemption (gold card), outpatient, fully insuredTXprior auth requiredGold-card exemption availableJul 1, 2026BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range)

Payer coverage policies that name 49082

49082 appears in 2 coverage policies from Aetna, Regence.

PayerPolicyRole in policyReviewedDocument
AetnaTransjugular Intrahepatic Portosystemic Shunt (TIPSS) (0259)listed, no stanceApr 14, 2026payer document
RegenceSurgical Site of Care – Hospital Outpatient (Utilization Management 19)listed, no stanceMay 1, 2026payer document

Recent prior-auth changes

  • Oct 1, 2026: PA removed, UnitedHealthcare Community Plan

Medicaid fee-for-service

  • AZ: $343.75 (asc), effective Oct 1, 2026
  • CO: $59.87 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $55.33 (physician, facility), effective Jan 1, 2026
  • IL: $50.11 (practitioner), effective Apr 1, 2024
  • IN: $55.76 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $144.42 (asc, facility), effective Jan 1, 2012
  • KY: $485.98 (asc), effective Jan 1, 2026
  • LA: $163.00 (professional), effective Jul 1, 2025
  • MA: $337.55 (asc), effective May 1, 2026
  • MS: $402.71 (comprehensive, facility), effective Oct 1, 2025
  • ND: $286.48 (physician, facility), effective Aug 1, 2026
  • NE: $111.14 (physician, non-facility), effective Jul 1, 2026
  • NY: $63.01 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $49.44 (physician, facility), effective Jan 1, 2024
  • OK: $816.74 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $334.95 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $61.63 (medical, facility), effective Jul 1, 2026
  • VT: $704.24 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $308.28 (asc), effective Jul 1, 2026
  • WY: $401.10 (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.