80352 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 80352

Payer coverage policies that name 80352

80352 appears in 9 coverage policies from Aetna, 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.

PayerPolicyRole in policyReviewedDocument
AetnaParkinson's Disease (0307)listed, no stance (range 80349-80352)Feb 24, 2026payer document
AnthemDrug Testing or Screening in the Context of Substance Use Disorder and Chronic Pain (CG-LAB-09)covered if criteria are metNov 6, 2025payer document
Blue Cross & Blue Shield of MississippiUrine Drug Testinglisted, no stancepayer document
Blue Cross Blue Shield of MassachusettsDrug Testing in Pain Management and Treatment of Substance Use Disorders (674)listed, no stancepayer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 80047-80439)Mar 1, 2024payer document
BlueCross BlueShield of South CarolinaPrescription Medication and Illicit Drug Testing in the Outpatient Setting (CAM 140)
Number
listed, no stanceApr 1, 2026payer document
CenteneDrugs of Abuse: Definitive Testing (CP.MP.50)covered if criteria are metJun 1, 2023payer 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 stanceJan 1, 2026payer document
Premera Blue CrossPrescription Medication and Illicit Drug Testing in the Outpatient Settinglisted, no stanceFeb 6, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, VT.

  • AZ: $1.54 (lab), effective Oct 1, 2026
  • FL: $14.85 (lab_independent, non-facility), effective Jan 1, 2026
  • KS: $12.89 (default, Exempt Physician), effective Jan 1, 2015
  • ND: $0.00 (physician), effective Aug 1, 2026
  • NY: $5.05 (lab), effective Aug 1, 2026
  • VA: $4.18 (medical), effective Jan 1, 2015
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 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.