Payer policies › CPT 9304093040 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 93040 Payer coverage policies that name 93040 93040 appears in 5 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Body Surface Potential Mapping (0705) listed, no stance (range 93000-93278) Nov 24, 2025 payer document Aetna Cardiac Computed Tomography (CT), Coronary CT Angiography, Calcium Scoring and CT Fractional Flow Reserve (0228) listed, no stance Jul 21, 2026 payer document Aetna Cardiac Event Monitors (0073) not covered Apr 7, 2026 payer document Aetna Nerve Blocks (0863) listed, no stance (range 92920-93799) Jul 23, 2026 payer document Aetna Transcranial Magnetic Stimulation and Cranial Electrical Stimulation (0469) not covered Jul 17, 2026 payer document
Medicaid fee-for-service AZ: $13.60 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $11.04 (chp_plus, non-facility), effective Jul 1, 2026 IL: $8.44 (practitioner), effective Apr 1, 2024 IN: $10.23 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $8.84 (default, Exempt Physician), effective Aug 1, 2024 KY: $12.15 (physician, facility), effective Jan 1, 2026 LA: $10.70 (professional), effective Feb 1, 2013 MA: $9.70 (physician_medicine), effective May 1, 2024 MS: $12.20 (comprehensive), effective Jul 1, 2026 ND: $16.52 (physician), effective Aug 1, 2026 NE: $27.42 (physician, non-facility), effective Jul 1, 2026 NY: $5.05 (ordered_ambulatory), effective Jul 24, 2026 OH: $10.98 (physician), effective Jan 1, 2000 OK: $13.00 (physician, non-facility), effective Jul 1, 2026 TX: $10.69 (laboratory_independent, Laboratory Independent, facility), effective Sep 1, 2025 VA: $13.02 (medical), effective Jul 1, 2026 VT: $12.46 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $9.17 (physician, facility), 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.