0002M CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0002M

Payer coverage policies that name 0002M

0002M appears in 10 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Cigna, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaNoninvasive Tests for Hepatic Fibrosis (0690)not coveredJun 18, 2026payer document
AnthemAlgorithmic Tests for Liver Fibrosis (LAB.00019)unproven / investigationalNov 6, 2025payer document
Blue Cross & Blue Shield of MississippiNoninvasive Techniques For The Evaluation And Monitoring Of Patients With Chronic Liver Diseaselisted, no stancepayer document
Blue Cross & Blue Shield of Rhode IslandNoninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease
MEDICAL COVERAGE POLICY | 5
covered if criteria are metMar 18, 2026payer document
Blue Cross Blue Shield of MassachusettsNoninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease (921)listed, no stancepayer document
Blue Cross NCSerum Testing for Hepatic Fibrosis in the Evaluation and Monitoring of Chronic Liver Disease AHS - G2110listed, no stanceOct 1, 2025payer document
Blue Shield of CaliforniaNoninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease (2.04.41)listed, no stancepayer document
BlueCross BlueShield of South CarolinaNoninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease (CAM 332)
Number
listed, no stanceOct 1, 2025payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
Premera Blue CrossSerum Testing for Hepatic Fibrosis in the Evaluation and Monitoring of Chronic Liver Diseaselisted, no stanceFeb 6, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, MS.

  • AZ: $503.40 (lab), effective Oct 1, 2026
  • FL: $271.84 (lab_independent, non-facility), effective Jan 1, 2026
  • KY: $503.40 (lab), effective Jan 1, 2026
  • MS: $453.06 (comprehensive), effective Jul 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 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.