A9155 Artificial saliva

Artificial saliva, 30 ml

Payer policies and prior authorization for A9155

Medicaid fee-for-service

Prior authorization required or conditional in VA.

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.