82274 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82274

Payer coverage policies that name 82274

82274 appears in 7 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Premera Blue Cross, UnitedHealthcare.

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 NCColorectal Cancer Screening AHS - G2181listed, no stanceApr 1, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 82009-82958)Mar 1, 2024payer document
BlueCross BlueShield of South CarolinaColorectal Cancer Screening (CAM 384)listed, no stanceApr 1, 2026payer document
Premera Blue CrossPreventive Care
Cologuard Plus)
listed, no stanceSep 21, 2026payer document
UnitedHealthcarePreventive Care Services (MP.016.59)
Codes (see Preventive Benefit | benefits to apply.
listed, no stanceJul 1, 2026payer document

Medicaid fee-for-service

  • AZ: $15.92 (lab), effective Oct 1, 2026
  • CO: $13.53 (lab_cdl), effective Apr 1, 2026
  • FL: $3.19 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $11.14 (practitioner), effective Apr 1, 2024
  • IN: $13.53 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $10.15 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $15.92 (lab), effective Jan 1, 2026
  • LA: $15.92 (lab_radiology), effective Jan 1, 2020
  • MS: $14.33 (comprehensive), effective Jul 1, 2026
  • ND: $15.92 (physician), effective Aug 1, 2026
  • NE: $15.92 (lab), effective Jul 1, 2026
  • NY: $3.43 (lab), effective Aug 1, 2026
  • OH: $11.94 (lab), effective Jan 1, 2021
  • OK: $14.16 (physician, non-facility), effective Jul 1, 2026
  • VA: $15.92 (medical), effective Jan 1, 2020
  • VT: $15.52 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $12.74 (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.