0109U CPT® code: payer coverage and prior authorization0109U appears in 5 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Polymerase Chain Reaction Testing: Selected Indications (0650) | not covered | Sep 10, 2026 | payer document |
| Blue Cross NC | Pathogen Panel Testing AHS – G2149 | listed, no stance | Oct 1, 2025 | payer document |
| BlueCross BlueShield of South Carolina | Pathogen Panel Testing (CAM 181) | listed, no stance | Jul 1, 2026 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
| Premera Blue Cross | Pathogen Panel Testing | listed, no stance | Jun 17, 2026 | payer document |
Prior authorization required or conditional in IN, MS.
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.