82233 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82233

1 of 1 payer prior-auth lists that name 82233 require prior authorization or set conditions: Blue Shield of California Promise Health Plan.

PayerPlanStatePrior authConditionsSinceSource
Blue Shield of California Promise Health PlanPromise Health Plan Medi-CalCAprior auth requiredSep 1, 2026Medi-Cal Prior Authorization List

Payer coverage policies that name 82233

82233 appears in 11 coverage policies from Aetna, Anthem, 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, Premera Blue Cross, Regence.

PayerPolicyRole in policyReviewedDocument
AetnaAlzheimer's Disease Tests (0349)covered if criteria are metAug 4, 2026payer document
AnthemTesting for Biochemical Markers for Alzheimer Disease (LAB.00046)covered if criteria are metMay 14, 2026payer document
AnthemTesting for Biochemical Markers for Alzheimer Disease (LAB.00046)not coveredMay 14, 2026payer document
Blue Cross & Blue Shield of MississippiEvaluation Of Biomarkers For Alzheimer Diseaselisted, no stancepayer document
Blue Cross & Blue Shield of Rhode IslandEvaluation of Biomarkers for Alzheimer’s Diseasecovered if criteria are metJul 2, 2025payer document
Blue Cross & Blue Shield of Rhode IslandEvaluation of Cerebrospinal Fluid, Urine and Plasma Tests for Alzheimer’s Diseasecovered if criteria are metSep 2, 2026payer document
Blue Cross NCBiochemical Markers of Alzheimer Disease and Dementia AHS – G2048listed, no stanceOct 1, 2025payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 82009-82958)Mar 1, 2024payer document
Blue Shield of CaliforniaEvaluation of Cerebrospinal fluid, Urine, and Plasma Tests for Alzheimer Disease (2.04.14)listed, no stancepayer document
BlueCross BlueShield of South CarolinaBiochemical Markers of Alzheimer Disease and Dementia (CAM 335)listed, no stanceOct 1, 2025payer document
Premera Blue Cross(effective November 6, 2026) Evaluation of Cerebrospinal Fluid, Urine, and Plasma Tests for Alzheimer Disease (2.04.521)
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listed, no stanceJul 14, 2026payer document
RegenceBiochemical and Cellular Markers of Alzheimer's Disease (Laboratory 22)listed, no stanceJun 1, 2026payer document

Recent prior-auth changes

  • Feb 1, 2025: PA added, Blue Shield of California Promise Health Plan

Medicaid fee-for-service

Prior authorization required or conditional in VT, WA, WV.

  • AZ: $128.92 (lab), effective Oct 1, 2026
  • IN: $0.00 (professional, facility), effective Jan 1, 2025
  • KY: $128.92 (lab), effective Jan 1, 2026
  • ND: $128.92 (physician), effective Aug 1, 2026
  • OH: $96.69 (lab), effective Apr 1, 2026
  • OK: $114.67 (physician, non-facility), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $103.14 (physician, facility), 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.