Payer policies › CPT 9946299462 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 99462 Payer coverage policies that name 99462 99462 appears in 2 coverage policies from Blue Cross NC, Premera Blue Cross.
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 Premera Blue Cross Preventive CareProcedure Code(s) | Comments covered if criteria are met Sep 21, 2026 payer document
Medicaid fee-for-service AZ: $28.37 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $32.44 (chp_plus, non-facility), effective Jul 1, 2026 FL: $27.54 (physician, non-facility), effective Jan 1, 2026 IL: $27.64 (practitioner), effective Apr 1, 2024 IN: $31.36 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $24.54 (default), effective Aug 1, 2024 KY: $24.63 (physician, facility), effective Jan 1, 2026 LA: $33.16 (professional), effective Jul 1, 2025 MA: $43.82 (physician_medicine), effective May 1, 2024 MS: $34.18 (comprehensive, PCP), effective Jul 1, 2026 ND: $38.68 (physician), effective Aug 1, 2026 NE: $43.87 (physician, non-facility), effective Jul 1, 2026 NY: $11.76 (midwife, facility), effective Jul 1, 2026 OH: $36.31 (physician), effective Jan 1, 2026 OK: $34.42 (physician, non-facility), effective Jul 1, 2026 TX: $37.86 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2023 VA: $25.51 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $32.07 (enhanced_pediatric, 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.