Payer policies › CPT 9058590585 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 90585 Payer coverage policies that name 90585 90585 appears in 2 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Injectable Medications (0020) listed, no stance (range 90581-90658) Mar 5, 2026 payer document Aetna Tuberculosis Testing (0471) listed, no stance Jul 23, 2026 payer document
Medicaid fee-for-service AZ: $189.25 (outpatient_hospital), effective Jul 1, 2026 IN: $162.41 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026 ND: $0.00 (physician), effective Aug 1, 2026 OH: $141.06 (provider_administered_drugs), effective Jan 1, 2020 OK: $177.20 (physician, non-facility), effective Jul 1, 2026 TX: $195.43 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), non-facility), effective Sep 1, 2026 VA: $141.03 (medical), effective Jul 1, 2019 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $182.30 (professional_administered_drugs), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.