Payer policies › CPT 3139031390 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 31390 Payer coverage policies that name 31390 31390 appears in 1 coverage policy from Blue Cross NC.
Payer Policy Role in policy Reviewed Document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 3011F-3210F) Mar 1, 2024 payer document
Medicaid fee-for-service AZ: $2858.40 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1122.40 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1924.51 (physician, non-facility), effective Jan 1, 2026 IL: $1904.77 (practitioner), effective Apr 1, 2024 IN: $2140.45 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $837.55 (default, Exempt Physician), effective Aug 1, 2024 KY: $1445.36 (physician, facility), effective Jan 1, 2026 LA: $2250.51 (professional), effective Jul 1, 2025 MA: $2108.68 (physician_surgery), effective May 1, 2024 MS: $2034.73 (comprehensive), effective Jul 1, 2026 ND: $2598.03 (physician), effective Aug 1, 2026 NE: $2297.10 (physician, non-facility), effective Jul 1, 2026 NY: $1288.32 (physician_surgery, facility), effective Jul 1, 2026 OH: $1595.43 (physician), effective Jan 1, 2024 OK: $2149.29 (physician, non-facility), effective Jul 1, 2026 TX: $2042.73 (physician, Physician, facility), effective Sep 1, 2026 VA: $2105.90 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1434.40 (physician, facility), effective Jul 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.