99308 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 99308

Payer coverage policies that name 99308

99308 appears in 2 coverage policies from Blue Cross NC, Centene.

PayerPolicyRole in policyReviewedDocument
Blue Cross NCEvaluation and Management Serviceslisted, no stance (range 99202-99499)Jun 1, 2026payer document
CenteneSkilled Nursing Facility Leveling (CP.MP.206)covered if criteria are metAug 1, 2022payer document

Medicaid fee-for-service

  • AZ: $65.16 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $60.33 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $61.31 (physician, non-facility), effective Jan 1, 2026
  • IL: $18.91 (podiatrist), effective Apr 1, 2024
  • IN: $58.11 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $37.72 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $42.19 (physician, facility), effective Jan 1, 2026
  • LA: $59.98 (professional), effective Jul 1, 2025
  • MA: $55.26 (physician_medicine), effective May 1, 2024
  • MS: $73.58 (comprehensive, PCP), effective Jul 1, 2026
  • MT: $71.70 (optometric, facility), effective Jul 1, 2025
  • ND: $86.74 (physician), effective Aug 1, 2026
  • NE: $55.87 (behavioral_health, Advanced Practice Registered Nurse (APRN)), effective Jul 1, 2025
  • NY: $22.93 (midwife, facility), effective Jul 1, 2026
  • OH: $34.44 (physician), effective Jan 1, 2024
  • OK: $60.75 (physician, facility), effective Jul 1, 2026
  • TX: $34.06 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), non-facility), effective Sep 1, 2007
  • VA: $56.79 (medical), effective Jul 1, 2026
  • VT: $56.30 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $47.30 (enhanced_adult, 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.