Payer policies › CPT 8019080190 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 80190 Payer coverage policies that name 80190 80190 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: $60.00 (lab), effective Oct 1, 2026 CO: $51.00 (lab_cdl), effective Apr 1, 2026 FL: $21.75 (lab_independent, non-facility), effective Jan 1, 2026 IL: $40.87 (practitioner), effective Apr 1, 2024 IN: $51.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024 KS: $17.10 (default, Exempt Physician), effective Apr 1, 1993 KY: $60.00 (lab), effective Jan 1, 2026 LA: $51.00 (lab_radiology), effective Jul 1, 2025 MS: $54.00 (comprehensive), effective Jul 1, 2026 ND: $60.00 (physician), effective Aug 1, 2026 NE: $60.00 (lab), effective Jul 1, 2026 OH: $45.00 (lab), effective Apr 1, 2019 OK: $53.37 (physician, non-facility), effective Jul 1, 2026 VA: $12.54 (medical), effective Jul 1, 2014 VT: $58.50 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $48.00 (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.