`S5145` Child fostercare th per diem

Foster care, therapeutic, child; per diem

Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)

Medicare pricing for S5145

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S5145

2 of 2 payer prior-auth lists that name S5145 require prior authorization or set conditions: Blue Cross and Blue Shield of New Mexico, Molina Healthcare of California.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Blue Cross and Blue Shield of New Mexico	Turquoise Care (New Mexico Medicaid)	NM	prior auth required		Oct 1, 2026	New Mexico Medicaid Benefit Preauthorization Procedure Code List 10/1/26
Molina Healthcare of California	Medicaid	CA	prior auth required	State exception	Apr 1, 2026	Medicaid Prior Auth (PA) Code Matrix (California), effective Q2 2026

Payer coverage policies that name S5145

S5145 appears in 1 coverage policy from Premera Blue Cross.

Payer	Policy	Role in policy	Reviewed	Document
Premera Blue Cross	Non-covered Services and Procedures Page \| 19 of 30 \| ∞	not covered	Jun 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

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.

S5145 Child fostercare th per diem