0366U CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0366U

Payer coverage policies that name 0366U

0366U appears in 7 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, Blue Shield of California, Premera Blue Cross, Regence.

PayerPolicyRole in policyReviewedDocument
AetnaTumor Markers (0352)not coveredAug 25, 2026payer document
Blue Cross & Blue Shield of MississippiUrinary Biomarkers For Cancer Screening Diagnosis And Surveillanceunproven / investigationalpayer document
Blue Cross & Blue Shield of Rhode IslandLaboratory Testing Investigational Services
MEDICAL COVERAGE POLICY | 3
not coveredJan 7, 2026payer document
Blue Cross NCUrinary Tumor Markers for Bladder Cancer AHS - G2125listed, no stanceApr 1, 2026payer document
Blue Shield of CaliforniaLaboratory Testing Investigational Services (2.04.159)listed, no stancepayer document
Premera Blue CrossLaboratory Testing Investigational Services (2.04.520)
Page | 5 of 21 | ∞
unproven / investigationalOct 1, 2026payer document
RegenceUrinary Biomarkers for Cancer Screening, Diagnosis, and Surveillance (Laboratory 72)listed, no stanceDec 1, 2025payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, MS.

  • FL: $484.38 (lab_independent, non-facility), effective Jan 1, 2026
  • KY: $897.00 (lab), effective Jan 1, 2026
  • MS: $807.30 (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.