Payer policies › CPT 7651176511 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 76511 Payer coverage policies that name 76511 76511 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Cataract Surgery (0508)Femtosecond laser-assisted cataract surgery, capsular tension rings (e.g., StabilEyes) covered if criteria are met Oct 9, 2026 payer document
Medicaid fee-for-service AZ: $79.00 (outpatient_hospital), effective Oct 1, 2021 CO: $18.10 (chp_plus, non-facility), effective Jul 1, 2026 FL: $27.28 (radiology), effective Jan 1, 2026 IL: $99.40 (practitioner), effective Apr 1, 2024 IN: $43.97 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $34.42 (default, Exempt Physician), effective Jan 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $75.43 (lab_radiology), effective Jul 1, 2012 MA: $26.58 (physician_radiology), effective May 1, 2024 MS: $17.31 (comprehensive), effective Jul 1, 2026 MT: $54.64 (optometric, facility), effective Jul 1, 2025 ND: $24.78 (physician), effective Aug 1, 2026 NE: $74.23 (physician, non-facility), effective Jul 1, 2026 NY: $40.40 (ordered_ambulatory), effective Jul 24, 2026 OH: $57.79 (physician), effective Jan 1, 2024 OK: $18.67 (physician, non-facility), effective Jul 1, 2026 TX: $131.99 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $19.39 (medical), effective Jul 1, 2026 VT: $81.18 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $21.21 (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.