82397 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82397

Payer coverage policies that name 82397

82397 appears in 16 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Cigna, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaInflammatory Disease: Biomarker and Thiopurine Pharmacogenomic Testing (0249)not coveredApr 27, 2026payer document
AetnaNoninvasive Down Syndrome Screening (0282)listed, no stanceApr 17, 2026payer document
AetnaOral Screening and Lesion Identification Systems (0760)not coveredDec 2, 2025payer document
AetnaRecurrent Pregnancy Loss (0348)not coveredJun 23, 2026payer document
Blue Cross & Blue Shield of MississippiImmune Cell Function Assayunproven / investigationalpayer document
Blue Cross & Blue Shield of MississippiMiscellaneous Genetic And Molecular Diagnostic Tests (A.2.04.121)unproven / investigationalpayer document
Blue Cross NCImmunopharmacologic Monitoring of Therapeutic Serum Antibodies AHS - G2105listed, no stanceOct 1, 2025payer document
Blue Cross NCLaboratory Testing for the Diagnosis of Inflammatory Bowel Disease AHS – G2121listed, no stanceOct 1, 2025payer document
Blue Cross NCOral Cancer Screening and Testing AHS - G2113listed, 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 CaliforniaBiomarker Testing in Risk Assessment and Management of Cardiovascular Disease (2.04.65)listed, no stancepayer document
Blue Shield of CaliforniaMeasurement of Serum Antibodies to Selected Biologic Agents (2.04.84)listed, no stancepayer document
BlueCross BlueShield of South CarolinaLaboratory Testing for the Diagnosis of Inflammatory Bowel Disease (CAM 318)listed, no stanceOct 1, 2025payer document
CignaInfertility Services (0089)unproven / investigationalJun 15, 2025payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
UnitedHealthcareInfertility Diagnosis, Treatment, and Fertility Preservation (2026T0270NN)listed, no stanceJun 1, 2026payer document

Medicaid fee-for-service

  • AZ: $14.12 (lab), effective Oct 1, 2026
  • CO: $14.12 (lab_cdl), effective Oct 1, 2025
  • FL: $7.92 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $13.84 (practitioner), effective Oct 1, 2008
  • IN: $12.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024
  • KS: $10.24 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $14.12 (lab), effective Jan 1, 2026
  • LA: $12.00 (lab_radiology), effective Jul 1, 2025
  • MS: $12.71 (comprehensive), effective Jul 1, 2026
  • ND: $14.12 (physician), effective Aug 1, 2026
  • NE: $14.12 (lab), effective Jul 1, 2026
  • OH: $10.59 (lab), effective Apr 1, 2021
  • OK: $12.56 (physician, non-facility), effective Jul 1, 2026
  • VA: $3.10 (medical), effective Jul 1, 2014
  • VT: $13.77 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $11.30 (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.