80175 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 80175

Payer coverage policies that name 80175

80175 appears in 3 coverage policies from Aetna, Blue Cross NC, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaSmell and Taste Disorders: Diagnosis (0390)listed, no stance (range 80150-80202)May 26, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 80047-80439)Mar 1, 2024payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $13.25 (lab), effective Oct 1, 2026
  • CO: $11.04 (lab_cdl), effective Jul 1, 2026
  • FL: $7.16 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $12.89 (practitioner), effective Apr 1, 2024
  • IN: $11.26 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $9.94 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $13.25 (lab), effective Jan 1, 2026
  • LA: $12.98 (lab_radiology), effective Jan 1, 2014
  • MS: $11.93 (comprehensive), effective Jul 1, 2026
  • ND: $13.25 (physician), effective Aug 1, 2026
  • NE: $13.25 (lab), effective Jul 1, 2026
  • NY: $10.61 (lab), effective Aug 1, 2026
  • OH: $9.94 (lab), effective Jan 1, 2021
  • OK: $11.79 (physician, non-facility), effective Jul 1, 2026
  • VA: $7.23 (medical), effective Jan 1, 2016
  • VT: $12.92 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $10.60 (physician, facility), effective Jul 1, 2026
  • WY: $11.93 (professional), effective Sep 1, 2025

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.