Payer policies › CPT 9257192571 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 92571 Payer coverage policies that name 92571 92571 appears in 2 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island.
Payer Policy Role in policy Reviewed Document Aetna Auditory Processing Disorder (APD) (0668) not covered (range 92551-92588) Oct 7, 2026 payer document Blue Cross & Blue Shield of Rhode Island Evaluation of Hearing Impairment/LossMEDICAL COVERAGE POLICY | 2 covered if criteria are met Jun 3, 2026 payer document
Medicaid fee-for-service Prior authorization required or conditional in WV.
AZ: $24.53 (outpatient_hospital), effective Oct 1, 2021 CO: $4.20 (chp_plus, non-facility), effective Jul 1, 2026 FL: $15.44 (hearing, non-facility), effective Apr 6, 2026 IL: $19.55 (practitioner), effective Apr 1, 2024 IN: $23.96 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $13.39 (default, Exempt Physician), effective Aug 1, 2024 KY: $5.93 (physician, facility), effective Jan 1, 2026 LA: $25.00 (epsdt), effective Mar 1, 2004 MA: $24.04 (physician_medicine), effective May 1, 2024 MS: $24.03 (comprehensive), effective Jul 1, 2026 ND: $34.55 (physician), effective Aug 1, 2026 NE: $24.67 (physician, non-facility), effective Jul 1, 2026 NY: $25.25 (hearing_aid, facility), effective Jul 1, 2026 OH: $11.85 (physician), effective Jan 1, 2024 OK: $33.63 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $25.39 (audiologist, Audiologist, non-facility), effective Sep 1, 2025 VA: $26.91 (medical), effective Jul 1, 2026 VT: $29.00 (outpatient_hospital_opps), effective Feb 1, 2026 WY: $16.52 (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.