`0010U` CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0010U

Payer coverage policies that name 0010U

0010U appears in 4 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Cigna, Regence.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Infectious Diseases: Selected Tests (1008)	not covered	Jan 14, 2026	payer document
Blue Cross & Blue Shield of Mississippi	Genetic Testing (L.2.04.409)	unproven / investigational		payer document
Cigna	Laboratory Testing Services (0604)	not covered	May 15, 2026	payer document
Regence	Evaluating the Utility of Genetic Panels (Genetic Testing 64)	listed, no stance	Jun 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

AZ: $427.26 (lab), effective Oct 1, 2026
FL: $230.72 (lab_independent, non-facility), effective Jan 1, 2026
KY: $427.26 (lab), effective Jan 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.

0010U CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0010U

Payer coverage policies that name 0010U

Medicaid fee-for-service

`0010U` CPT® code: payer coverage and prior authorization