80342 CPT® code: payer coverage and prior authorization80342 appears in 8 coverage policies from Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, BlueCross BlueShield of South Carolina, Centene, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Anthem | Drug Testing or Screening in the Context of Substance Use Disorder and Chronic Pain (CG-LAB-09) | covered if criteria are met | Nov 6, 2025 | payer document |
| Blue Cross & Blue Shield of Mississippi | Urine Drug Testing | listed, no stance | payer document | |
| Blue Cross Blue Shield of Massachusetts | Drug Testing in Pain Management and Treatment of Substance Use Disorders (674) | listed, no stance | payer document | |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 80047-80439) | Mar 1, 2024 | payer document |
| BlueCross BlueShield of South Carolina | Prescription Medication and Illicit Drug Testing in the Outpatient Setting (CAM 140) Number | listed, no stance | Apr 1, 2026 | payer document |
| Centene | Drugs of Abuse: Definitive Testing (CP.MP.50) | covered if criteria are met | Jun 1, 2023 | payer document |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Drug Testing in Pain Management and Substance Use Disorder Treatment (MED207.154) CPT Codes 80156, 80188, 80299, 80305, 80306, 80307, 80320, 80321, 80322, | listed, no stance | Jan 1, 2026 | payer document |
| Premera Blue Cross | Prescription Medication and Illicit Drug Testing in the Outpatient Setting | listed, no stance | Feb 6, 2026 | payer document |
Prior authorization required or conditional in IN, VT.
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.