77073 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 77073

Payer coverage policies that name 77073

77073 appears in 1 coverage policy from Blue Cross & Blue Shield of Mississippi.

PayerPolicyRole in policyReviewedDocument
Blue Cross & Blue Shield of MississippiFoot Care Services (L.9.01.401)covered if criteria are metpayer document

Medicaid fee-for-service

  • AZ: $79.00 (outpatient_hospital), effective Oct 1, 2021
  • CO: $37.90 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $7.22 (radiology), effective Jan 1, 2026
  • IL: $29.27 (practitioner), effective Apr 1, 2024
  • IN: $10.20 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $18.72 (default, Exempt Physician), effective Jan 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $34.86 (lab_radiology), effective Jul 1, 2025
  • MA: $35.36 (physician_radiology), effective May 1, 2024
  • MS: $11.06 (comprehensive), effective Jul 1, 2026
  • ND: $51.44 (physician), effective Aug 1, 2026
  • NE: $35.80 (physician, non-facility), effective Jul 1, 2026
  • NY: $25.25 (ordered_ambulatory), effective Jul 24, 2026
  • OH: $25.10 (physician), effective Jan 1, 2024
  • OK: $94.14 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $131.99 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025
  • VA: $40.22 (medical), effective Jul 1, 2026
  • VT: $81.18 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $7.64 (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.