66770 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 66770

Medicaid fee-for-service

  • AZ: $173.61 (asc), effective Oct 1, 2026
  • CO: $261.89 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $327.47 (physician, facility), effective Jan 1, 2026
  • IL: $374.55 (practitioner), effective Jul 1, 2026
  • IN: $370.66 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $275.66 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $294.70 (asc), effective Jan 1, 2026
  • LA: $416.08 (professional), effective Jul 1, 2025
  • MA: $217.72 (asc), effective May 1, 2026
  • MS: $235.62 (comprehensive, facility), effective Oct 1, 2025
  • MT: $463.28 (optometric, facility), effective Jul 1, 2025
  • ND: $173.73 (physician, facility), effective Aug 1, 2026
  • NE: $613.54 (physician, facility), effective Jul 1, 2026
  • OH: $247.30 (physician, facility), effective Jan 1, 2024
  • OK: $365.72 (physician, facility), effective Jul 1, 2026
  • TX: $208.33 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $359.95 (medical, facility), effective Jul 1, 2026
  • VT: $427.05 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $250.34 (physician, facility), effective Jul 1, 2026
  • WY: $243.23 (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.