0231U CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0231U

Payer coverage policies that name 0231U

0231U appears in 6 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina.

PayerPolicyRole in policyReviewedDocument
AetnaGenetic Testing (0140)
Genetic testing for dominant polycystic kidney disease (PKD1 and PKD2)
covered if criteria are metAug 18, 2026payer document
Blue Cross & Blue Shield of MississippiGenetic Testing (L.2.04.409)covered if criteria are metpayer document
Blue Cross & Blue Shield of Rhode IslandGenetic Testing for Epilepsy
This code can be used for Genomic Unity® CACNA1A Analysis (Variantyx Inc)
covered if criteria are metMar 18, 2026payer document
Blue Cross NCGenetic Testing for Neurodegenerative Disorders AHS – M2167listed, no stanceOct 1, 2025payer document
Blue Shield of California| Genetic Testing for Epilepsy (2.04.109)listed, no stancepayer document
BlueCross BlueShield of South CarolinaGenetic Testing for Neurodegenerative Disorders (CAM 234)
Number
listed, no stanceOct 1, 2025payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, MS.

  • AZ: $846.27 (lab), effective Oct 1, 2026
  • FL: $456.98 (lab_independent, non-facility), effective Jan 1, 2026
  • IN: $719.33 (professional, Advanced Practice Nurse (85%), non-facility), effective Jul 1, 2024
  • KY: $846.27 (lab), effective Jan 1, 2026
  • MS: $761.64 (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.