81007 CPT® code: payer coverage and prior authorization81007 appears in 5 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Cigna, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Myalgic Encephalomyelitis - Chronic Fatigue Syndrome (ME/CSF) (0369) | covered if criteria are met (range 81000-81099) | May 20, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Urinalysis (L.2.04.418) | listed, no stance | payer document | |
| Blue Cross NC | Prenatal Screening (Nongenetic) AHS - G2035 | listed, no stance | Oct 1, 2025 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
| Premera Blue Cross | Preventive Care Bacteriuria screening: Pregnant women and urinary tract | covered if criteria are met | Sep 21, 2026 | payer document |
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.