49593 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 49593

1 of 1 payer prior-auth lists that name 49593 require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue).

PayerPlanStatePrior authConditionsSinceSource
Blue Cross Blue Shield of Arizona (AZ Blue)Standard PA code list (most commercial plans)AZprior auth under conditionsplace of service 19, 21, 22; site of care: hospital (not ASC)Sep 1, 2026AZ Blue Standard Prior Authorization Requirements Code List (09/01/2026)

Payer coverage policies that name 49593

49593 appears in 4 coverage policies from Aetna, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaAbdominoplasty, Suction Lipectomy, and Ventral Hernia Repair (0211)covered if criteria are metAug 18, 2026payer document
AetnaCosmetic Surgery and Procedures (0031)
Thermal therapy (e.g., radiofrequency (ThermiVa and Viveve procedures) and laser), Laviv (azficel-T)
not coveredJun 25, 2026payer document
AetnaNerve Blocks (0863)listed, no stance (range 49591-49596)Jul 23, 2026payer document
Premera Blue CrossAbdominal Wall Hernia Repair in Adults (7.01.600)listed, no stanceMay 11, 2026payer document

Recent prior-auth changes

  • Jul 1, 2024: PA removed, Blue Shield of California Promise Health Plan
  • Feb 15, 2023: PA added, Blue Shield of California Promise Health Plan

Medicaid fee-for-service

Prior authorization required or conditional in WV.

  • AZ: $2423.12 (asc), effective Oct 1, 2026
  • CO: $461.46 (health_first_colorado), effective Jul 1, 2026
  • FL: $388.49 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025
  • IL: $406.71 (practitioner), effective Apr 1, 2024
  • IN: $428.65 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $991.12 (asc, facility), effective Jan 1, 2023
  • KY: $3284.86 (asc), effective Jan 1, 2026
  • LA: $515.66 (professional), effective Jan 1, 2023
  • MA: $1170.63 (asc), effective May 1, 2026
  • MS: $2536.92 (comprehensive, facility), effective Oct 1, 2025
  • ND: $1936.43 (physician, facility), effective Aug 1, 2026
  • NE: $1662.00 (asc), effective Jul 1, 2024
  • NY: $320.99 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $445.73 (physician), effective Jan 1, 2023
  • OK: $2996.85 (asc), effective Jan 1, 2026
  • TX: $1151.54 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jan 1, 2023
  • VA: $454.86 (medical, facility), effective Jul 1, 2026
  • VT: $5026.67 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $366.60 (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.