Payer policies › CPT 7208372083 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 72083 Payer coverage policies that name 72083 72083 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Hyperbaric Oxygen Therapy (HBOT) (0172) listed, no stance Apr 21, 2026 payer document
Medicaid fee-for-service Prior authorization required or conditional in WV.
AZ: $31.31 (asc), effective Oct 1, 2026 CO: $13.98 (chp_plus, non-facility), effective Jul 1, 2026 FL: $38.26 (radiology), effective Jan 1, 2026 IL: $50.67 (practitioner), effective Apr 1, 2024 IN: $13.56 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $69.78 (asc, facility), effective Jan 1, 2016 KY: $55.68 (asc), effective Jan 1, 2026 LA: $60.56 (lab_radiology), effective Jul 1, 2025 MA: $12.79 (physician_radiology), effective May 1, 2024 MS: $45.37 (comprehensive, facility), effective Oct 1, 2025 ND: $70.22 (physician), effective Aug 1, 2026 NE: $44.92 (physician, non-facility), effective Jul 1, 2026 NY: $20.63 (ordered_ambulatory), effective Jul 24, 2026 OH: $50.75 (physician), effective Jan 1, 2024 OK: $15.31 (physician, non-facility), effective Jul 1, 2026 TX: $131.99 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $54.40 (medical, facility), effective Jul 1, 2026 VT: $81.18 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $49.69 (physician, facility), effective Jul 1, 2026 WY: $46.23 (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.