0642U CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0642U

Payer coverage policies that name 0642U

0642U appears in 3 coverage policies from Blue Cross NC, Regence, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
Blue Cross NCMinimal Residual Disease (MRD) AHS - M2175listed, no stanceJan 1, 2026payer document
RegenceCirculating Tumor DNA and Circulating Tumor Cells for Management (Liquid Biopsy) of Solid Tumor Cancers (Laboratory 46)
MRD		listed, no stanceJun 1, 2026payer document
UnitedHealthcareMolecular Oncology Testing for Solid Tumor Cancer Diagnosis, Prognosis, and Treatment Decisions (2026T0588QQ)
MRD		listed, no stanceAug 1, 2026payer 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.