Payer policies › CPT 7826878268 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 78268 Payer coverage policies that name 78268 78268 appears in 2 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Helicobacter Pylori Infection Testing (0177) covered if criteria are met Mar 20, 2026 payer document Aetna Smell and Taste Disorders: Diagnosis (0390)Genotyping of the TAS2R38 gene, cerebrospinal fluid SARS-CoV-2 antibody testing not covered May 26, 2026 payer document
Medicaid fee-for-service AZ: $94.41 (lab), effective Oct 1, 2026 CO: $78.65 (chp_plus, non-facility), effective Jul 1, 2026 FL: $100.11 (radiology, non-facility), effective Jan 1, 2026 IL: $66.09 (practitioner), effective Apr 1, 2024 IN: $80.25 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026 KS: $39.43 (default, Exempt Physician), effective Oct 16, 2003 KY: $45.00 (asc), effective Jan 1, 2026 LA: $80.25 (lab_radiology), effective Jul 1, 2025 MS: $84.97 (comprehensive), effective Jul 1, 2026 ND: $94.41 (physician), effective Aug 1, 2026 NE: $94.41 (lab), effective Jul 1, 2026 OH: $70.81 (lab), effective Apr 1, 2019 OK: $83.98 (physician, non-facility), effective Jul 1, 2026 VA: $89.40 (medical), effective Feb 1, 2010 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $75.53 (physician, facility), 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.