82272 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82272

Payer coverage policies that name 82272

82272 appears in 5 coverage policies from Aetna, Blue Cross NC, Blue Shield of California, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaColonoscopy, Colorectal Cancer Screening, and Related Procedures (0516)covered if criteria are metAug 20, 2026payer document
AetnaNonstandard Laboratory Test Panels (0499)listed, no stanceAug 3, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 82009-82958)Mar 1, 2024payer document
Blue Shield of CaliforniaFecal Analysis in the Diagnosis of Intestinal Dysbiosis (2.04.26)listed, no stancepayer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $4.23 (lab), effective Oct 1, 2026
  • CO: $3.60 (lab_cdl), effective Apr 1, 2026
  • FL: $2.29 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $2.96 (practitioner), effective Apr 1, 2024
  • IN: $3.60 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2018
  • KS: $2.90 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $4.23 (lab), effective Jan 1, 2026
  • LA: $3.60 (lab_radiology), effective Jul 1, 2025
  • MS: $3.81 (comprehensive), effective Jul 1, 2026
  • ND: $4.23 (physician), effective Aug 1, 2026
  • NE: $4.23 (lab), effective Jul 1, 2026
  • OH: $3.17 (lab), effective Apr 1, 2019
  • OK: $3.76 (physician, non-facility), effective Jul 1, 2026
  • VA: $3.79 (medical), effective Jul 1, 2014
  • VT: $4.12 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $3.38 (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.