80048 CPT® code: payer coverage and prior authorization80048 appears in 7 coverage policies from Aetna, Anthem, Blue Cross NC, Cigna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Autism Spectrum Disorders (0648) | covered if criteria are met | Oct 2, 2025 | payer document |
| Aetna | Eating Disorders (0511) | covered if criteria are met | Aug 4, 2026 | payer document |
| Aetna | Myalgic Encephalomyelitis - Chronic Fatigue Syndrome (ME/CSF) (0369) | covered if criteria are met | May 20, 2026 | payer document |
| Aetna | Weight Reduction Programs and Devices (0039) | listed, no stance | Mar 10, 2026 | payer document |
| Anthem | Preoperative Testing for Low Risk Invasive Procedures and Surgeries (CG-MED-61) | covered if criteria are met | Aug 13, 2026 | payer document |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 80047-80439) | Mar 1, 2024 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
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.