Payer policies › CPT 5932559325 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 59325 Payer coverage policies that name 59325 59325 appears in 3 coverage policies from Aetna, BlueCross BlueShield of South Carolina.
Payer Policy Role in policy Reviewed Document Aetna Procalcitonin (PCT) (0771) listed, no stance Nov 13, 2025 payer document Aetna Transabdominal Cerclage (0529) covered if criteria are met Aug 28, 2026 payer 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
Medicaid fee-for-service AZ: $247.51 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $192.94 (chp_plus, non-facility), effective Jul 1, 2026 FL: $167.55 (physician, non-facility), effective Jan 1, 2026 IL: $540.10 (practitioner), effective Jul 1, 2026 IN: $177.34 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $450.00 (asc, facility), effective Jan 1, 1990 KY: $203.99 (physician, facility), effective Jan 1, 2026 LA: $194.01 (professional), effective Feb 1, 2013 MA: $250.86 (physician_surgery), effective May 1, 2024 MS: $178.83 (comprehensive), effective Jul 1, 2026 ND: $214.03 (physician), effective Aug 1, 2026 NE: $88.77 (physician, non-facility), effective Jul 1, 2026 NY: $202.00 (physician_surgery, facility), effective Jul 1, 2026 OH: $192.28 (physician), effective Jan 1, 2024 OK: $188.77 (physician, non-facility), effective Jul 1, 2026 TX: $203.21 (physician, Physician, facility), effective Mar 1, 2026 VA: $218.73 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $236.05 (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.