Payer policies › CPT 9800498004 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 98004 Payer coverage policies that name 98004 98004 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Vulvodynia and Vulvar Vestibulitis Treatments (0759) not covered (range 97810-98714) Nov 12, 2025 payer document
Medicaid fee-for-service AZ: $15.33 (outpatient_hospital, RF133), effective Oct 1, 2025 CO: $32.67 (chp_plus, non-facility), effective Jul 1, 2026 IN: $26.62 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KY: $28.07 (physician, facility), effective Jan 1, 2026 ND: $45.43 (physician), effective Aug 1, 2026 NE: $32.90 (physician, non-facility), effective Jul 1, 2026 OH: $25.24 (physician, facility), effective Jan 1, 2025 VA: $21.68 (medical, facility), effective Jul 1, 2026 VT: $25.46 (outpatient_hospital_opps), effective Feb 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.