Payer policies › CPT 9931099310 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 99310 Payer coverage policies that name 99310 99310 appears in 2 coverage policies from Blue Cross NC, Centene.
Payer Policy Role in policy Reviewed Document Blue Cross NC Evaluation and Management Services listed, no stance (range 99202-99499) Jun 1, 2026 payer document Centene Skilled Nursing Facility Leveling (CP.MP.206) covered if criteria are met Aug 1, 2022 payer document
Medicaid fee-for-service AZ: $134.48 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $124.18 (chp_plus, non-facility), effective Jul 1, 2026 FL: $127.03 (physician, non-facility), effective Jan 1, 2026 IL: $32.05 (podiatrist), effective Apr 1, 2024 IN: $119.96 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $69.27 (default, Exempt Physician), effective Aug 1, 2024 KY: $74.49 (physician, facility), effective Jan 1, 2026 LA: $124.17 (professional), effective Jul 1, 2025 MA: $113.60 (physician_medicine), effective May 1, 2024 MS: $152.77 (comprehensive, PCP), effective Jul 1, 2026 ND: $179.11 (physician), effective Aug 1, 2026 NE: $102.74 (behavioral_health, Advanced Practice Registered Nurse (APRN)), effective Jul 1, 2025 NY: $44.75 (midwife, facility), effective Jul 1, 2026 OH: $66.79 (physician), effective Jan 1, 2024 OK: $125.90 (physician, facility), effective Jul 1, 2026 TX: $46.17 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), non-facility), effective Sep 1, 2007 VA: $117.81 (medical), effective Jul 1, 2026 VT: $115.85 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $97.29 (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.