99493 CPT® code: payer coverage and prior authorization99493 appears in 3 coverage policies from Blue Cross & Blue Shield of Rhode Island, Blue Cross NC.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Blue Cross & Blue Shield of Rhode Island | Behavioral Health Integration Services including the Collaborative Care Model | covered if criteria are met | Apr 16, 2025 | payer document |
| Blue Cross & Blue Shield of Rhode Island | Behavioral Health Integration Services including the Psychiatric Collaborative Care Model Psychiatric Collaborative Care Model (CoCM) | listed, no stance | Aug 1, 2026 | payer document |
| Blue Cross NC | Evaluation and Management Services | listed, no stance (range 99202-99499) | Jun 1, 2026 | payer document |
Prior authorization required or conditional in IN, WA.
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.