Payer policies › CPT 8252882528 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 82528 Payer coverage policies that name 82528 82528 appears in 3 coverage policies from Blue Cross NC, Centene, Cigna.
Payer Policy Role in policy Reviewed Document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 82009-82958) Mar 1, 2024 payer document Centene covered if criteria are met Jan 1, 2026 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $22.52 (lab), effective Oct 1, 2026 CO: $18.76 (lab_cdl), effective Jul 1, 2026 FL: $14.81 (lab_independent, non-facility), effective Jan 1, 2026 IL: $17.70 (practitioner), effective Oct 1, 2008 IN: $19.14 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020 KS: $14.36 (default, Exempt Physician), effective Jul 1, 2023 KY: $22.52 (lab), effective Jan 1, 2026 LA: $22.42 (lab_radiology), effective Jul 1, 2012 MS: $20.27 (comprehensive), effective Jul 1, 2026 ND: $22.52 (physician), effective Aug 1, 2026 NE: $22.52 (lab), effective Jul 1, 2026 OH: $16.89 (lab), effective Apr 1, 2021 OK: $20.03 (physician, non-facility), effective Jul 1, 2026 VA: $12.95 (medical), effective Jul 1, 2014 VT: $21.96 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $18.02 (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.