82139 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82139

Payer coverage policies that name 82139

82139 appears in 11 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaAutism Spectrum Disorders (0648)not coveredOct 2, 2025payer document
AetnaGout (0810)not coveredMar 27, 2026payer document
AetnaNonstandard Laboratory Test Panels (0499)listed, no stanceAug 3, 2026payer document
Blue Cross NCDiagnosis of Idiopathic Environmental Intolerance AHS - G2056listed, no stanceJan 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
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 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

Medicaid fee-for-service

  • AZ: $16.87 (lab), effective Oct 1, 2026
  • CO: $14.34 (lab_cdl), effective Apr 1, 2026
  • FL: $7.19 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $35.43 (practitioner), effective Apr 1, 2024
  • IN: $14.34 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $12.65 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $16.87 (lab), effective Jan 1, 2026
  • LA: $16.87 (lab_radiology), effective Jan 1, 2020
  • MS: $15.18 (comprehensive), effective Jul 1, 2026
  • ND: $16.87 (physician), effective Aug 1, 2026
  • NE: $16.87 (lab), effective Jul 1, 2026
  • NY: $14.14 (lab), effective Aug 1, 2026
  • OH: $12.65 (lab), effective Apr 1, 2021
  • OK: $15.01 (physician, non-facility), effective Jul 1, 2026
  • VA: $11.52 (medical), effective Jul 1, 2014
  • VT: $16.45 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $13.50 (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.