82575 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82575

Payer coverage policies that name 82575

82575 appears in 8 coverage policies from Aetna, Blue Cross NC, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaElivaldogene Autotemcel (Skysona) (1017)listed, no stanceApr 8, 2026payer document
AetnaEtranacogene Dezaparvovec-drlb (Hemgenix) (1023)listed, no stanceApr 17, 2026payer document
AetnaLumasiran (Oxlumo) (0983)listed, no stanceFeb 17, 2026payer document
AetnaLysosomal Storage Disorder Treatments (0442)listed, no stanceJul 8, 2026payer document
AetnaNedosiran (Rivfloza) (1047)listed, no stanceFeb 20, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 82009-82958)Mar 1, 2024payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Sexual Dysfunctions, Assessment and Treatment (MED201.030)
CPT Codes 37788, 37790, 54110, 54111, 54112, 54200, 54205, 54230, 54231,
listed, no stanceJan 1, 2026payer document
Premera Blue CrossPreventive Carecovered if criteria are metSep 21, 2026payer document

Medicaid fee-for-service

  • AZ: $9.46 (lab), effective Oct 1, 2026
  • CO: $9.46 (lab_cdl), effective Oct 1, 2025
  • FL: $5.11 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $9.22 (practitioner), effective Oct 1, 2008
  • IN: $8.04 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $7.10 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $9.46 (lab), effective Jan 1, 2026
  • LA: $9.40 (lab_radiology), effective Jul 1, 2012
  • MS: $8.51 (comprehensive), effective Jul 1, 2026
  • ND: $9.46 (physician), effective Aug 1, 2026
  • NE: $9.46 (lab), effective Jul 1, 2026
  • NY: $5.89 (lab), effective Aug 1, 2026
  • OH: $7.09 (lab), effective Apr 1, 2021
  • OK: $8.41 (physician, non-facility), effective Jul 1, 2026
  • VA: $4.10 (medical), effective Jul 1, 2014
  • VT: $9.22 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $7.57 (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.