Payer policies › CPT 9304193041 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 93041 Payer coverage policies that name 93041 93041 appears in 5 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island.
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 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 Blue Cross & Blue Shield of Rhode Island Ambulance Services - Ground covered if criteria are met Sep 17, 2025 payer document
Medicaid fee-for-service AZ: $40.35 (outpatient_hospital), effective Oct 1, 2021 CO: $5.35 (chp_plus, non-facility), effective Jul 1, 2026 IL: $8.16 (practitioner), effective Apr 1, 2024 IN: $4.95 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $3.57 (default, Exempt Physician), effective Aug 1, 2024 KY: $4.00 (physician, facility), effective Jan 1, 2026 LA: $4.77 (professional), effective Jul 1, 2025 MA: $4.75 (physician_medicine), effective May 1, 2024 MS: $44.80 (comprehensive), effective Jul 1, 2026 ND: $8.64 (physician), effective Aug 1, 2026 NE: $16.45 (physician, non-facility), effective Jul 1, 2026 OH: $4.08 (physician), effective Jan 1, 2024 OK: $6.67 (physician, non-facility), effective Jul 1, 2026 TX: $5.61 (healthy_texas_women, Clinic/Group Practice, non-facility), effective Sep 1, 2025 VA: $6.94 (medical), effective Jul 1, 2026 VT: $45.81 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $4.97 (physician, facility), effective Jul 1, 2026 WY: $26.09 (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.