82136 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82136

Payer coverage policies that name 82136

82136 appears in 20 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaAutism Spectrum Disorders (0648)not coveredOct 2, 2025payer document
AetnaComplementary and Alternative Medicine (0388)listed, no stanceJun 25, 2026payer document
AetnaGout (0810)not coveredMar 27, 2026payer document
AetnaLyme Disease and other Tick-Borne Diseases (0215)
Alpha lipoic acid or “Healing” Detox Drips, testing for other tick-borne diseases from other organisms, antibiotic augmented thermo-eradication (AAT) therapy
not coveredJul 21, 2026payer document
Blue Cross & Blue Shield of MississippiIntracellular Micronutrient Analysisunproven / investigationalpayer document
Blue Cross & Blue Shield of MississippiNutrientnutritional Panel Testing (A.2.04.136)unproven / investigationalpayer document
Blue Cross & Blue Shield of Rhode IslandNutrient/Nutritional Panel Testinglisted, no stanceFeb 4, 2026payer document
Blue Cross NCDiagnosis of Idiopathic Environmental Intolerance AHS - G2056listed, no stanceJan 1, 2026payer document
Blue Cross NCMicronutrient Testing AHS – G2099listed, no stanceApr 1, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 82009-82958)Mar 1, 2024payer document
Blue Cross NCTesting of Homocysteine Metabolism Related Conditions AHS - M2141listed, no stanceJan 1, 2026payer document
Blue Shield of California| Nutrient/Nutritional Panel Testing (2.04.136)listed, no stancepayer document
BlueCross BlueShield of South CarolinaDiagnosis and Management of Idiopathic Environmental Intolerance (i.e., Clinical Ecology) (CAM 267)
Code Number
listed, no stanceJan 1, 2026payer document
BlueCross BlueShield of South CarolinaMicronutrient Testing (CAM 270)listed, no stanceApr 1, 2026payer document
BlueCross BlueShield of South CarolinaTesting of Homocysteine Metabolism-Related Conditions (CAM 162)
Code Number
listed, no stanceJan 1, 2026payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Medical Policies Moving to MCG Guidelines
Spectrum Disorders (ASD) | 70460, 70470, 70496, 70551, | Disorders – Gene Panels
listed, no stanceJan 1, 2026payer document
Premera Blue CrossDiagnosis of Idiopathic Environmental Intolerancelisted, no stanceFeb 6, 2026payer document
Premera Blue CrossIntracellular Micronutrient Analysislisted, no stanceOct 14, 2025payer document
UnitedHealthcarePreventive Care Services (MP.016.59)
Panel (Newborns) | Metabolic Screening Panel: | Ages 0 to 90 days. Does not have
listed, no stanceJul 1, 2026payer document

Medicaid fee-for-service

  • AZ: $19.61 (lab), effective Oct 1, 2026
  • CO: $16.67 (lab_cdl), effective Apr 1, 2026
  • FL: $6.53 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $13.73 (practitioner), effective Apr 1, 2024
  • IN: $16.67 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2019
  • KS: $13.60 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $19.61 (lab), effective Jan 1, 2026
  • LA: $18.44 (lab_radiology), effective Jul 1, 2012
  • MS: $17.65 (comprehensive), effective Jul 1, 2026
  • ND: $19.61 (physician), effective Aug 1, 2026
  • NE: $19.61 (lab), effective Jul 1, 2026
  • NY: $14.14 (lab), effective Aug 1, 2026
  • OH: $14.71 (lab), effective Apr 1, 2021
  • OK: $17.44 (physician, non-facility), effective Jul 1, 2026
  • VA: $19.48 (medical), effective Jul 1, 2014
  • VT: $19.12 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $15.69 (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.