Payer policies › CPT 5935059350 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 59350 Payer coverage policies that name 59350 59350 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
Medicaid fee-for-service AZ: $284.94 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $221.50 (chp_plus, non-facility), effective Jul 1, 2026 FL: $191.65 (physician, non-facility), effective Jan 1, 2026 IL: $540.00 (practitioner), effective Jul 1, 2026 IN: $203.99 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $166.59 (default, Exempt Physician), effective Aug 1, 2024 KY: $260.13 (physician, facility), effective Jan 1, 2026 LA: $225.54 (professional), effective Feb 1, 2013 MA: $201.89 (physician_surgery), effective May 1, 2024 MS: $205.28 (comprehensive), effective Jul 1, 2026 ND: $242.57 (physician), effective Aug 1, 2026 NE: $62.34 (physician, non-facility), effective Jul 1, 2026 NY: $161.60 (physician_surgery, facility), effective Jul 1, 2026 OH: $227.19 (physician), effective Jan 1, 2000 OK: $216.40 (physician, non-facility), effective Jul 1, 2026 TX: $32.82 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026 VA: $249.93 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $272.00 (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.