Payer policies › CPT 6770067700 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 67700 2 of 2 payer prior-auth lists that name 67700 require prior authorization or set conditions: Neighborhood Health Partnership, UnitedHealthcare.
Payer Plan State Prior auth Conditions Since Source Neighborhood Health Partnership Neighborhood Health Partnership FL prior auth under conditions site of care: outpatient hospital; not in AK, IL, GU, MA, PR, RI, TX, UT, VI, WI Sep 1, 2026 Prior authorization requirements for Neighborhood Health Partnership Effective September 1, 2026 UnitedHealthcare UnitedHealthcare Complete (Individual & Family plans) All prior auth under conditions site of care: outpatient hospital Sep 1, 2026 Prior authorization requirements for UnitedHealthcare Complete Effective September 1, 2026
Recent prior-auth changes Oct 1, 2026: PA removed, Oxford Health Plans Oct 1, 2026: PA removed, UnitedHealthcare Oct 1, 2026: PA removed, UnitedHealthcare Community Plan Oct 1, 2026: PA removed, UnitedHealthcare Oct 1, 2026: PA removed, UnitedHealthcare Aug 1, 2026: conditions changed, UnitedHealthcare Jul 1, 2026: conditions changed, UnitedHealthcare Jul 1, 2026: conditions changed, UnitedHealthcare Jul 1, 2026: conditions changed, Neighborhood Health Partnership Jul 1, 2026: conditions changed, UnitedHealthcare Medicaid fee-for-service AZ: $98.29 (asc), effective Oct 1, 2026 CO: $173.69 (chp_plus, non-facility), effective Jul 1, 2026 FL: $80.20 (physician, facility), effective Jan 1, 2026 IL: $76.55 (practitioner), effective Apr 1, 2024 IN: $90.03 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $225.00 (asc, facility), effective Aug 1, 1982 KY: $169.94 (asc), effective Jan 1, 2026 LA: $217.00 (asc), effective Jul 1, 2012 MA: $116.18 (asc), effective May 1, 2026 MS: $128.09 (comprehensive, facility), effective Oct 1, 2025 MT: $112.74 (optometric, facility), effective Jul 1, 2025 ND: $100.18 (physician, facility), effective Aug 1, 2026 NE: $65.79 (physician, facility), effective Jul 1, 2026 NY: $50.20 (physician_surgery, facility), effective Jul 1, 2026 OH: $75.92 (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: $88.83 (medical, facility), effective Jul 1, 2026 VT: $246.45 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $61.92 (physician, facility), 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.