77085 CPT® code: payer coverage and prior authorization77085 appears in 10 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Back Pain - Invasive Procedures (0016) | listed, no stance | Oct 6, 2026 | payer document |
| Aetna | Bone Mass Measurements (0134) | covered if criteria are met | Mar 19, 2026 | payer document |
| Anthem | Bone Mineral Density Testing Measurement (CG-RAD-32) | covered if criteria are met | Aug 13, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Bone Mineral Density Studies (L.6.01.412) | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Bone Mineral Density Studies sad | covered if criteria are met | Sep 17, 2025 | payer document |
| Blue Cross NC | Bone Mineral Density Studies | listed, no stance | Mar 1, 2026 | payer document |
| Blue Cross NC | Screening for Vertebral Fracture with Dual X-ray Absorptiometry (DXA) | listed, no stance | May 1, 2026 | payer document |
| Blue Shield of California | Vertebral Fracture Assessment with Densitometry or Biomechanical Computed Tomography (6.01.44) | listed, no stance | payer document | |
| BlueCross BlueShield of South Carolina | Vertebral Fracture Assessment with Densitometry or Biomechanical Computed Tomography (CAM 60144) | listed, no stance | Feb 1, 2026 | payer document |
| Premera Blue Cross | Preventive Care Procedure Code(s) | Comments | covered if criteria are met | Sep 21, 2026 | payer document |
Prior authorization required or conditional in WA, WV.
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.