74018 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 74018

Medicaid fee-for-service

Prior authorization required or conditional in WV.

  • AZ: $58.65 (outpatient_hospital), effective Oct 1, 2021
  • CO: $7.10 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $14.04 (radiology), effective Jan 1, 2026
  • IL: $58.80 (practitioner), effective Apr 1, 2024
  • IN: $16.11 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $5.37 (default, Exempt Physician), effective Jan 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $23.35 (lab_radiology), effective Jul 1, 2025
  • MA: $17.07 (physician_radiology), effective May 1, 2024
  • MS: $66.09 (comprehensive), effective Jul 1, 2026
  • ND: $33.04 (physician), effective Aug 1, 2026
  • NE: $50.78 (physician, non-facility), effective Jul 1, 2026
  • NY: $10.10 (ordered_ambulatory), effective Jul 24, 2026
  • OH: $20.44 (physician), effective Jan 1, 2024
  • OK: $17.56 (physician, non-facility), effective Jul 1, 2026
  • TX: $24.32 (family_planning_clinic, Family Planning Clinic, non-facility), effective Mar 1, 2025
  • VA: $25.75 (medical), effective Jul 1, 2026
  • VT: $67.57 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $13.19 (physician, facility), effective Jul 1, 2026
  • WY: $38.49 (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.