Payer policies › CPT 8016780167 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 80167 Payer coverage policies that name 80167 80167 appears in 3 coverage policies from Aetna, Blue Cross NC, Cigna.
Payer Policy Role in policy Reviewed Document Aetna Smell and Taste Disorders: Diagnosis (0390) listed, no stance (range 80150-80202) May 26, 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
Medicaid fee-for-service AZ: $18.64 (lab), effective Oct 1, 2026 CO: $15.52 (chp_plus, non-facility), effective Jul 1, 2026 FL: $10.06 (lab_independent, non-facility), effective Jan 1, 2026 IL: $13.05 (practitioner), effective Apr 1, 2024 IN: $15.84 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2021 KS: $11.88 (default, Exempt Physician), effective Jul 1, 2023 KY: $18.64 (lab), effective Jan 1, 2026 LA: $15.84 (lab_radiology), effective Jul 1, 2025 MS: $16.78 (comprehensive), effective Jul 1, 2026 ND: $18.64 (physician), effective Aug 1, 2026 NE: $18.64 (lab), effective Jul 1, 2026 NY: $10.61 (lab), effective Aug 1, 2026 OH: $13.98 (lab), effective Apr 1, 2021 OK: $16.58 (physician, non-facility), effective Jul 1, 2026 VA: $16.40 (medical), effective Jan 1, 2021 VT: $18.17 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $14.91 (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.