Payer policies › CPT 8008180081 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 80081 Payer coverage policies that name 80081 80081 appears in 3 coverage policies from Blue Cross NC, BlueCross BlueShield of South Carolina.
Payer Policy Role in policy Reviewed Document Blue Cross NC Prenatal Screening (Nongenetic) AHS - G2035 listed, no stance Oct 1, 2025 payer document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 80047-80439) Mar 1, 2024 payer document BlueCross BlueShield of South Carolina Prenatal Screening (Nongenetics) (CAM 119)Number listed, no stance Jul 1, 2026 payer document
Medicaid fee-for-service AZ: $74.86 (lab), effective Oct 1, 2026 CO: $63.63 (lab_cdl), effective Apr 1, 2026 FL: $40.43 (lab_independent, non-facility), effective Jan 1, 2026 IL: $61.18 (practitioner), effective Jan 1, 2016 IN: $63.63 (professional, Advanced Practice Nurse (85%), non-facility), effective Oct 8, 2020 KS: $56.14 (default, Exempt Physician), effective Jul 1, 2023 KY: $74.86 (lab), effective Jan 1, 2026 LA: $74.86 (lab_radiology), effective Jan 1, 2020 MS: $67.37 (comprehensive), effective Jul 1, 2026 ND: $74.86 (physician), effective Aug 1, 2026 NE: $74.86 (lab), effective Jul 1, 2026 OH: $56.15 (lab), effective Jan 1, 2021 OK: $66.59 (physician, non-facility), effective Jul 1, 2026 VA: $74.86 (medical), effective Jan 1, 2020 VT: $72.99 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $59.89 (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.