Payer policies › CPT 7304073040 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 73040 Payer coverage policies that name 73040 73040 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Complex Regional Pain Syndrome (CRPS): Diagnosis (0147) not covered (range 73000-73140) Mar 30, 2026 payer document
Medicaid fee-for-service AZ: $266.89 (outpatient_hospital), effective Oct 1, 2021 CO: $29.02 (chp_plus, non-facility), effective Jul 1, 2026 FL: $57.57 (radiology), effective Jan 1, 2026 IL: $84.09 (practitioner), effective Apr 1, 2024 IN: $21.08 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $16.41 (default, Exempt Physician), effective Jan 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $100.39 (lab_radiology), effective Jul 1, 2025 MA: $84.57 (physician_radiology), effective May 1, 2024 MS: $22.81 (comprehensive), effective Jul 1, 2026 ND: $150.57 (physician), effective Aug 1, 2026 NE: $35.99 (physician, non-facility), effective Jul 1, 2026 NY: $25.25 (ordered_ambulatory), effective Jul 24, 2026 OH: $81.41 (physician), effective Jan 1, 2024 OK: $90.17 (physician, non-facility), effective Jul 1, 2026 TX: $461.69 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $93.46 (medical), effective Jul 1, 2026 VT: $270.89 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $68.03 (physician, facility), effective Jul 1, 2026 WY: $154.28 (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.