Payer policies › CPT 9945199451 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 99451 Payer coverage policies that name 99451 99451 appears in 2 coverage policies from Blue Cross & Blue Shield of Mississippi, Blue Cross NC.
Payer Policy Role in policy Reviewed Document Blue Cross & Blue Shield of Mississippi Telehealth Storeandforward Telemedicine Services (L.2.04.438) not covered payer 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: $32.00 (physician, AHCCCS PT 08, facility), effective Oct 1, 2024 CO: $34.30 (chp_plus, non-facility), effective Jul 1, 2026 IL: $23.69 (practitioner), effective Apr 1, 2024 KY: $45.00 (asc), effective Jan 1, 2026 LA: $31.98 (professional), effective Mar 15, 2021 MA: $26.24 (physician_medicine), effective May 1, 2024 ND: $38.68 (physician), effective Aug 1, 2026 NE: $37.60 (physician, non-facility), effective Jul 1, 2026 NY: $28.46 (midwife, non-facility), effective Jul 1, 2026 OH: $27.12 (physician), effective Apr 1, 2023 VA: $21.66 (medical, facility), effective Jul 1, 2026 VT: $24.75 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $17.58 (physician, 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.