`0230U` CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0230U

Payer coverage policies that name 0230U

0230U appears in 4 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, BlueCross BlueShield of South Carolina.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Genetic Testing (0140)	covered if criteria are met	Aug 18, 2026	payer document
Blue Cross & Blue Shield of Mississippi	Genetic Testing (L.2.04.409)	covered if criteria are met		payer document
Blue Cross NC	General Genetic Testing, Germline Disorders AHS - M2145	listed, no stance	Jan 1, 2026	payer document
BlueCross BlueShield of South Carolina	General Genetic Testing, Germline Disorders (CAM 166)	listed, no stance	Jan 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, MS.

AZ: $301.35 (lab), effective Oct 1, 2026
FL: $162.73 (lab_independent, non-facility), effective Jan 1, 2026
KY: $301.35 (lab), effective Jan 1, 2026
MS: $271.22 (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.

0230U CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0230U

Payer coverage policies that name 0230U

Medicaid fee-for-service

`0230U` CPT® code: payer coverage and prior authorization