59871 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 59871

Payer coverage policies that name 59871

59871 appears in 1 coverage policy from BlueCross BlueShield of South Carolina.

Medicaid fee-for-service

• AZ: $1051.19 (asc), effective Oct 1, 2026
• CO: $107.29 (chp_plus, non-facility), effective Jul 1, 2026
• FL: $93.78 (physician, non-facility), effective Jan 1, 2026
• IL: $95.42 (practitioner), effective Apr 1, 2024
• IN: $98.53 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
• KS: $300.00 (asc, facility), effective Jan 1, 1998
• KY: $1696.62 (asc), effective Jan 1, 2026
• LA: $233.58 (asc), effective Jul 1, 2012
• MA: $1050.01 (asc), effective May 1, 2026
• MS: $1339.41 (comprehensive, facility), effective Oct 1, 2025
• ND: $1000.16 (physician, facility), effective Aug 1, 2026
• NE: $552.00 (asc), effective Jul 1, 2024
• NY: $67.26 (physician_surgery, facility), effective Jul 1, 2026
• OH: $109.44 (physician), effective Jan 1, 2000
• OK: $1547.86 (asc), effective Jan 1, 2026
• TX: $1063.52 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
• VA: $122.42 (medical), effective Jul 1, 2026
• VT: $2513.50 (outpatient_hospital_opps), effective Feb 1, 2026
• WA: $339.40 (asc), 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.