Payer policies › CPT 8020180201 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 80201 Payer coverage policies that name 80201 80201 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: $11.92 (lab), effective Oct 1, 2026 CO: $10.13 (lab_cdl), effective Apr 1, 2026 FL: $6.72 (lab_independent, non-facility), effective Jan 1, 2026 IL: $11.32 (practitioner), effective Mar 1, 2013 IN: $10.13 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020 KS: $8.03 (default, Exempt Physician), effective Jul 1, 2023 KY: $11.92 (lab), effective Jan 1, 2026 LA: $11.92 (lab_radiology), effective Jan 1, 2020 MS: $10.73 (comprehensive), effective Jul 1, 2026 ND: $11.92 (physician), effective Aug 1, 2026 NE: $11.92 (lab), effective Jul 1, 2026 OH: $8.94 (lab), effective Jan 1, 2021 OK: $10.60 (physician, non-facility), effective Jul 1, 2026 VA: $11.92 (medical), effective Jan 1, 2021 VT: $11.62 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $9.54 (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.