Payer policies › CPT 7707677076 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 77076 Payer coverage policies that name 77076 77076 appears in 1 coverage policy from Blue Cross & Blue Shield of Mississippi.
Payer Policy Role in policy Reviewed Document Blue Cross & Blue Shield of Mississippi Foot Care Services (L.9.01.401) covered if criteria are met payer document
Medicaid fee-for-service AZ: $79.00 (outpatient_hospital), effective Oct 1, 2021 CO: $65.18 (chp_plus, non-facility), effective Jul 1, 2026 FL: $47.98 (radiology), effective Jan 1, 2026 IL: $69.37 (practitioner), effective Apr 1, 2024 IN: $55.79 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $43.52 (default, Exempt Physician), effective Jan 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $82.80 (lab_radiology), effective Jul 1, 2025 MA: $84.50 (physician_radiology), effective May 1, 2024 MS: $56.09 (comprehensive), effective Jul 1, 2026 ND: $81.11 (physician), effective Aug 1, 2026 NE: $48.29 (physician, non-facility), effective Jul 1, 2026 NY: $35.35 (ordered_ambulatory), effective Jul 24, 2026 OH: $69.09 (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: $28.07 (medical), effective Jul 1, 2026 VT: $81.18 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $45.67 (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.