0502U CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0502U

Payer coverage policies that name 0502U

0502U appears in 6 coverage policies from Aetna, Anthem, Capital Blue Cross, Cigna, Premera Blue Cross, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaCervical Cancer Screening and Diagnosis (0443)covered if criteria are metJul 22, 2026payer document
AetnaCervical Cancer Screening and Diagnosis (0443)not coveredJul 22, 2026payer document
AnthemCervical Cancer Screening Using Cytology and Human Papillomavirus Detection (CG-MED-53)covered if criteria are metFeb 19, 2026payer document
Capital Blue CrossExperimental and Investigational Procedures (MP 4.002)
Procedure codes: Lab services
listed, no stanceSep 1, 2026payer document
CignaNucleic Acid Pathogen Testing (0530)not coveredAug 15, 2026payer document
Premera Blue CrossPreventive Care
HPV testing (human papillomavirus DNA test)
covered if criteria are metSep 21, 2026payer document
UnitedHealthcarePreventive Care Services (MP.016.59)
USPSTF Rating (Aug. 2018): A
listed, no stanceJul 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, MS.

  • AZ: $35.09 (lab), effective Oct 1, 2026
  • FL: $18.94 (lab_independent, non-facility), effective Jan 1, 2026
  • KY: $35.09 (lab), effective Jan 1, 2026
  • MS: $31.58 (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.