67141 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 67141

Payer coverage policies that name 67141

67141 appears in 1 coverage policy from Regence.

Medicaid fee-for-service

• AZ: $98.29 (asc), effective Oct 1, 2026
• CO: $222.41 (chp_plus, non-facility), effective Jul 1, 2026
• FL: $178.30 (physician, facility), effective Jan 1, 2026
• IL: $202.98 (practitioner), effective Apr 1, 2024
• IN: $165.77 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
• KS: $350.00 (asc, facility), effective Aug 1, 1982
• KY: $169.94 (asc), effective Jan 1, 2026
• LA: $182.30 (asc), effective Jul 1, 2012
• MA: $116.18 (asc), effective May 1, 2026
• MS: $128.09 (comprehensive, facility), effective Oct 1, 2025
• MT: $207.43 (optometric, facility), effective Jul 1, 2025
• ND: $100.18 (physician, facility), effective Aug 1, 2026
• NE: $552.00 (asc), effective Jul 1, 2024
• NY: $404.00 (physician_surgery, facility), effective Jul 1, 2026
• OH: $216.98 (physician, facility), effective Jan 1, 2024
• OK: $155.04 (asc), effective Jan 1, 2026
• TX: $108.29 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
• VA: $163.48 (medical, facility), effective Jul 1, 2026
• VT: $246.45 (outpatient_hospital_opps), effective Feb 1, 2026
• WA: $308.28 (asc), effective Jul 1, 2026
• WY: $140.37 (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.