Payer policies › CPT 7944079440 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 79440 Medicaid fee-for-service Prior authorization required or conditional in KY.
AZ: $21.49 (asc), effective Oct 1, 2026 CO: $33.64 (chp_plus, non-facility), effective Jul 1, 2026 FL: $60.27 (radiology), effective Jan 1, 2026 IL: $105.90 (practitioner), effective Jul 1, 2026 IN: $63.35 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KY: $38.33 (asc), effective Jan 1, 2026 LA: $121.34 (lab_radiology), effective Jul 1, 2012 MA: $89.70 (physician_radiology), effective May 1, 2024 MS: $30.28 (comprehensive, facility), effective Oct 1, 2025 ND: $37.92 (physician, facility), effective Aug 1, 2026 NE: $132.79 (physician, non-facility), effective Jul 1, 2026 NY: $30.30 (ordered_ambulatory), effective Jul 24, 2026 OH: $118.04 (physician), effective Jan 1, 2018 OK: $71.17 (physician, non-facility), effective Jul 1, 2026 TX: $282.40 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2026 VA: $67.13 (medical), effective Jul 1, 2026 VT: $181.18 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $70.71 (physician, facility), effective Jul 1, 2026 WY: $103.19 (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.