`77062` CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 77062

Payer coverage policies that name 77062

77062 appears in 4 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Premera Blue Cross.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Breast Biopsy Procedures (0269)	covered if criteria are met (range 77061-77063)	May 14, 2026	payer document
Aetna	Mammography (0584)	covered if criteria are met (range 77061-77062)	Sep 10, 2026	payer document
Blue Cross & Blue Shield of Mississippi	Digital Breast Tomosynthesis (L.6.01.418)	listed, no stance		payer document
Premera Blue Cross	Preventive Care Breast biopsies and biopsy accessories	covered if criteria are met	Sep 21, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in FL.

AZ: $83.72 (lab), effective Oct 1, 2026
FL: $30.95 (radiology), effective Jan 1, 2026
IN: $0.00 (professional, facility), effective Jan 1, 2015
KS: $14.40 (default, Exempt Physician), effective Dec 1, 2019
KY: $0.00 (physician, facility), effective Jan 1, 2026
LA: $48.19 (lab_radiology), effective Jan 1, 2015
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.

77062 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 77062

Payer coverage policies that name 77062

Medicaid fee-for-service

`77062` CPT® code: payer coverage and prior authorization