59618 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 59618

Payer coverage policies that name 59618

59618 appears in 4 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, BlueCross BlueShield of South Carolina.

PayerPolicyRole in policyReviewedDocument
AetnaHome Births (0329)not covered (range 59610-59622)May 21, 2026payer document
Blue Cross & Blue Shield of MississippiMedically Indicated Earlyterm Deliveries Prior To 39 Weeks (L.4.01.400)listed, no stancepayer document
Blue Cross NCGuidelines for Global Maternity Reimbursementlisted, no stanceNov 1, 2024payer document
BlueCross BlueShield of South CarolinaMaternity/Obstetrical Care Benefits (CAM 366)
59020 | FETAL CONTRACTION STRESS TEST
listed, no stanceFeb 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in WA.

  • AZ: $4263.76 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $2192.40 (chp_plus, non-facility), effective Jul 1, 2026
  • IL: $2069.53 (practitioner), effective Oct 1, 2023
  • IN: $2010.24 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $1458.31 (default, Exempt Physician), effective Jul 1, 2024
  • LA: $1641.92 (professional), effective Feb 1, 2013
  • MA: $2435.34 (physician_surgery), effective May 1, 2024
  • ND: $2512.79 (physician), effective Aug 1, 2026
  • NE: $3087.19 (physician, non-facility), effective Jul 1, 2026
  • NY: $2058.48 (physician_special_programs), effective Apr 1, 2022
  • OK: $2181.26 (physician, non-facility), effective Jul 1, 2026
  • VA: $2538.65 (medical), effective Jul 1, 2026
  • VT: $1932.13 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $2693.66 (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.