0504U CPT® code: payer coverage and prior authorization0504U appears in 7 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Blue Shield of California, Cigna, Premera Blue Cross, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Polymerase Chain Reaction Testing: Selected Indications (0650) | not covered | Sep 10, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Pathogen Panel Testing (L.2.04.456) | not covered | payer document | |
| Blue Cross NC | Pathogen Panel Testing AHS – G2149 | listed, no stance | Oct 1, 2025 | payer document |
| Blue Shield of California | Identification of Microorganisms Using Nucleic Acid Probes (2.04.10) | listed, no stance | payer document | |
| Cigna | Nucleic Acid Pathogen Testing (0530) | not covered | Aug 15, 2026 | payer document |
| Premera Blue Cross | Pathogen Panel Testing | listed, no stance | Jun 17, 2026 | payer document |
| Regence | Identification of Microorganisms Using Nucleic Acid Probes (Genetic Testing 85) | listed, no stance | Dec 1, 2025 | payer document |
Prior authorization required or conditional in IN.
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.