Payer policies › CPT 9936899368 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 99368 Payer coverage policies that name 99368 99368 appears in 1 coverage policy from Blue Cross NC.
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
Medicaid fee-for-service Prior authorization required or conditional in IN.
AZ: $27.58 (physician, AHCCCS PT 18, facility), effective Oct 1, 2025 KS: $15.60 (default, Exempt Physician), effective Jul 1, 2022 LA: $9.86 (specialized_behavioral_health, Rate), effective Jan 1, 2026 MA: $25.93 (physician_medicine), effective May 1, 2024 ND: $0.00 (physician), effective Aug 1, 2026 OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026 VA: $22.14 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $20.87 (aba), 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.