82240 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82240

Payer coverage policies that name 82240

82240 appears in 3 coverage policies from Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Cigna.

PayerPolicyRole in policyReviewedDocument
Blue Cross & Blue Shield of MississippiFecal Analysis In The Diagnosis Of Intestinal Dysbiosisunproven / investigationalpayer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 82009-82958)Mar 1, 2024payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $26.58 (lab), effective Oct 1, 2026
  • CO: $22.14 (lab_cdl), effective Jul 1, 2026
  • FL: $14.36 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $18.61 (practitioner), effective Apr 1, 2024
  • IN: $22.59 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024
  • KS: $28.21 (default, Exempt Physician), effective Jan 1, 1995
  • KY: $26.58 (lab), effective Jan 1, 2026
  • LA: $26.44 (lab_radiology), effective Jul 1, 2012
  • MS: $23.92 (comprehensive), effective Jul 1, 2026
  • ND: $26.58 (physician), effective Aug 1, 2026
  • NE: $26.58 (lab), effective Jul 1, 2026
  • NY: $16.41 (lab), effective Aug 1, 2026
  • OH: $19.94 (lab), effective Jan 1, 2021
  • OK: $23.64 (physician, non-facility), effective Jul 1, 2026
  • VA: $20.90 (medical), effective Jul 1, 2014
  • VT: $25.92 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $21.26 (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.