82671 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82671

1 of 1 payer prior-auth lists that name 82671 require prior authorization or set conditions: UnitedHealthcare Community Plan.

PayerPlanStatePrior authConditionsSinceSource
UnitedHealthcare Community PlanMaryland HealthChoiceMDprior auth under conditionsonly with dx F64.0, F64.1, F64.2, F64.8, F64.9, Z87.890Sep 1, 2026Prior authorization requirements for UnitedHealthcare Community Plan of Maryland Effective September 1, 2026

Payer coverage policies that name 82671

82671 appears in 7 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Centene, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaHypoxic Ischemic Encephalopathy (0812)not coveredNov 20, 2025payer document
AetnaInfertility (0327)covered if criteria are metJul 16, 2026payer document
AetnaSalivary Tests (0608)not coveredSep 23, 2026payer document
Blue Cross & Blue Shield of MississippiEstrogen Hormone Testing Estradiol And Estrone (L.2.04.404)covered if criteria are metpayer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 82009-82958)Mar 1, 2024payer document
Centenecovered if criteria are metJan 1, 2026payer document
CignaInfertility Services (0089)covered if criteria are metJun 15, 2025payer document

Medicaid fee-for-service

  • AZ: $32.30 (lab), effective Oct 1, 2026
  • CO: $32.30 (lab_cdl), effective Oct 1, 2025
  • FL: $17.51 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $22.61 (practitioner), effective Apr 1, 2024
  • IN: $27.45 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $24.22 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $32.30 (lab), effective Jan 1, 2026
  • LA: $32.15 (lab_radiology), effective Jul 1, 2012
  • MS: $29.07 (comprehensive), effective Jul 1, 2026
  • ND: $32.30 (physician), effective Aug 1, 2026
  • NE: $32.30 (lab), effective Jul 1, 2026
  • OH: $24.23 (lab), effective Apr 1, 2021
  • OK: $28.73 (physician, non-facility), effective Jul 1, 2026
  • VA: $19.14 (medical), effective Jul 1, 2014
  • VT: $31.49 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $25.84 (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.