`0634U` CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0634U

Payer coverage policies that name 0634U

0634U appears in 4 coverage policies from Blue Cross & Blue Shield of Mississippi, Blue Cross NC, BlueCross BlueShield of South Carolina, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

Payer	Policy	Role in policy	Reviewed	Document
Blue Cross & Blue Shield of Mississippi	Genetic Testing (L.2.04.409)	unproven / investigational		payer document
Blue Cross NC	Liquid Biopsy AHS - G2054	listed, no stance	Jan 1, 2026	payer document
BlueCross BlueShield of South Carolina	Liquid Biopsy (CAM 273)	listed, no stance	Jul 1, 2026	payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)	Laboratory Testing Investigational Services (MED207.164) CPT Codes 0616U, 0617U, 0618U, 0619U, 0620U, 0621U, 0622U, 0623U, 0624U,	listed, no stance	Apr 1, 2026	payer document

Medicaid fee-for-service

ND: $0.00 (physician), effective Aug 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Jul 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.

0634U CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0634U

Payer coverage policies that name 0634U

Medicaid fee-for-service

`0634U` CPT® code: payer coverage and prior authorization