99467 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 99467

Payer coverage policies that name 99467

99467 appears in 1 coverage policy from Blue Cross NC.

PayerPolicyRole in policyReviewedDocument
Blue Cross NCEvaluation and Management Serviceslisted, no stance (range 99202-99499)Jun 1, 2026payer document

Medicaid fee-for-service

  • AZ: $100.56 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $93.43 (chp_plus, non-facility), effective Jul 1, 2026
  • IN: $90.18 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KY: $94.05 (physician, facility), effective Jan 1, 2026
  • LA: $96.62 (professional), effective Feb 1, 2013
  • MA: $85.93 (physician_medicine), effective May 1, 2024
  • ND: $110.39 (physician), effective Aug 1, 2026
  • NE: $126.01 (physician, non-facility), effective Jul 1, 2026
  • NY: $47.72 (physician_medicine, facility), effective Jul 1, 2026
  • OH: $102.97 (physician), effective Jan 1, 2026
  • OK: $92.11 (physician, non-facility), effective Jul 1, 2026
  • VA: $72.92 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $69.49 (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.