81513 CPT® code: payer coverage and prior authorization81513 appears in 12 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, BlueCross BlueShield of South Carolina, Centene, Cigna, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Diagnosis of Vaginitis (0643) | covered if criteria are met | Sep 25, 2026 | payer document |
| Aetna | Polymerase Chain Reaction Testing: Selected Indications (0650) | covered if criteria are met | Sep 10, 2026 | payer document |
| Anthem | Nucleic Acid Amplification Tests Using Algorithmic Analysis for the Diagnosis of Vaginitis (CG-LAB-22) | covered if criteria are met | May 14, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Identification Of Microorganisms Using Nucleic Acid Probes | unproven / investigational | payer document | |
| Blue Cross & Blue Shield of Mississippi | Multitarget Polymerase Chain Reaction Testing For Diagnosis Of Bacterial Vaginosis (A.2.04.127) | unproven / investigational | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis | covered if criteria are met | Mar 18, 2026 | payer document |
| Blue Cross Blue Shield of Massachusetts | Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis (711) | listed, no stance | payer document | |
| Blue Cross NC | Diagnosis of Vaginitis AHS - M2057 | listed, no stance | Apr 1, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Diagnosis of Vaginitis (CAM 269) | listed, no stance | Apr 1, 2026 | payer document |
| Centene | Testing for Select Genitourinary Conditions (CP.MP.97) | covered if criteria are met | payer document | |
| Cigna | Nucleic Acid Pathogen Testing (0530) | covered if criteria are met | Aug 15, 2026 | payer document |
| UnitedHealthcare | Urogenital/Anogenital (UG/AG) Panels (MMP373.34) | listed, no stance | Aug 1, 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.