80184 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 80184

Payer coverage policies that name 80184

80184 appears in 4 coverage policies from Aetna, Blue Cross NC, Centene, 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
CenteneDrugs of Abuse: Definitive Testing (CP.MP.50)covered if criteria are metJun 1, 2023payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $15.30 (lab), effective Oct 1, 2026
  • CO: $12.74 (lab_cdl), effective Jul 1, 2026
  • FL: $8.26 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $10.42 (practitioner), effective Apr 1, 2024
  • IN: $13.01 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2018
  • KS: $11.48 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $15.30 (lab), effective Jan 1, 2026
  • LA: $13.01 (lab_radiology), effective Jul 1, 2025
  • MS: $13.77 (comprehensive), effective Jul 1, 2026
  • ND: $15.30 (physician), effective Aug 1, 2026
  • NE: $15.30 (lab), effective Jul 1, 2026
  • NY: $10.61 (lab), effective Aug 1, 2026
  • OH: $11.48 (lab), effective Apr 1, 2019
  • OK: $13.61 (physician, non-facility), effective Jul 1, 2026
  • VA: $7.85 (medical), effective Jul 1, 2014
  • VT: $14.92 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $12.24 (kidneycenters), 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.