Payer policies › CPT 5930059300 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 59300 1 of 1 payer prior-auth lists that name 59300 require prior authorization or set conditions: Blue Cross and Blue Shield of Illinois.
Payer Plan State Prior auth Conditions Since Source Blue Cross and Blue Shield of Illinois Blue Cross Community MMAI (Medicare-Medicaid Alignment Initiative) IL prior auth required Jan 1, 2023 Procedure Code List, Effective 1/1/2025
Payer coverage policies that name 59300 59300 appears in 1 coverage policy from BlueCross BlueShield of South Carolina.
Payer Policy Role in policy Reviewed Document BlueCross BlueShield of South Carolina Maternity/Obstetrical Care Benefits (CAM 366)59020 | FETAL CONTRACTION STRESS TEST listed, no stance Feb 1, 2026 payer document
Recent prior-auth changes Apr 1, 2026: PA removed, Blue Cross and Blue Shield of Illinois Apr 1, 2026: PA removed, Blue Cross and Blue Shield of Illinois Medicaid fee-for-service AZ: $66.86 (asc), effective Oct 1, 2026 CO: $186.47 (chp_plus, non-facility), effective Jul 1, 2026 FL: $103.91 (physician, facility), effective Jan 1, 2026 IL: $105.84 (practitioner), effective Apr 1, 2024 IN: $109.07 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $194.25 (asc, facility), effective Aug 1, 1982 KY: $119.28 (asc), effective Jan 1, 2026 LA: $149.47 (professional), effective Feb 1, 2013 MA: $95.10 (asc), effective May 1, 2026 MS: $95.74 (comprehensive, facility), effective Oct 1, 2025 ND: $117.97 (physician, facility), effective Aug 1, 2026 NE: $167.25 (physician, facility), effective Jul 1, 2026 NY: $68.81 (midwife, facility), effective Jul 1, 2026 OH: $74.92 (physician, facility), effective Jan 1, 2024 OK: $116.82 (physician, facility), effective Jul 1, 2026 TX: $109.19 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), facility), effective Mar 1, 2026 VA: $135.65 (medical, facility), effective Jul 1, 2026 VT: $2513.50 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $145.57 (physician, facility), effective Jul 1, 2026 WY: $1431.58 (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.