68705 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 68705

Medicaid fee-for-service

  • AZ: $98.29 (asc), effective Oct 1, 2026
  • CO: $44.90 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $111.92 (physician, facility), effective Jan 1, 2026
  • IL: $109.14 (practitioner), effective Apr 1, 2024
  • IN: $127.58 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $149.28 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $169.94 (asc), effective Jan 1, 2026
  • LA: $202.27 (professional), effective Jul 1, 2025
  • MA: $116.18 (asc), effective May 1, 2026
  • MS: $128.09 (comprehensive, facility), effective Oct 1, 2025
  • MT: $159.26 (optometric, facility), effective Jul 1, 2025
  • ND: $100.18 (physician, facility), effective Aug 1, 2026
  • NE: $79.12 (physician, facility), effective Jul 1, 2026
  • NY: $72.59 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $82.88 (physician, facility), effective Jan 1, 2024
  • OK: $126.08 (physician, facility), effective Jul 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: $124.13 (medical, facility), effective Jul 1, 2026
  • VT: $246.45 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $86.38 (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.