82947 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82947

Payer coverage policies that name 82947

82947 appears in 17 coverage policies from Aetna, Anthem, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Premera Blue Cross, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaDiabetes Tests, Programs and Supplies (0070)covered if criteria are metFeb 20, 2026payer document
AetnaEating Disorders (0511)covered if criteria are metAug 4, 2026payer document
AetnaElectrodiagnostic Testing (0502)listed, no stanceJul 29, 2026payer document
AetnaErectile Dysfunction and Peyronie's Disease (0007)covered if criteria are metJul 29, 2026payer document
AetnaGrowth Hormone (GH) and Growth Hormone Antagonists (0170)listed, no stanceJun 26, 2026payer document
AetnaIntermittent Intravenous Insulin Therapy (0742)not coveredNov 26, 2025payer document
AetnaPancreas Transplantation Alone (PTA) and Islet Cell Transplantation (0601)listed, no stanceSep 18, 2026payer document
AetnaSmell and Taste Disorders: Diagnosis (0390)covered if criteria are metMay 26, 2026payer document
AetnaTeplizumab-mzwv (Tzield) (1022)listed, no stanceDec 3, 2025payer document
AnthemOutpatient Laboratory-based Blood Glucose Testing (CG-LAB-30)covered if criteria are metMay 14, 2026payer document
Blue Cross NCDiabetes Mellitus Testing - AHS G2006listed, no stanceOct 1, 2025payer document
Blue Cross NCPrenatal Screening (Nongenetic) AHS - G2035listed, 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 CaliforniaBSC2.11 | Diabetes Prevention Programlisted, no stancepayer document
BlueCross BlueShield of South CarolinaDiabetes Mellitus Testing (CAM 133)listed, no stanceJul 1, 2026payer document
Premera Blue CrossPreventive Care
Diabetes, prediabetes screening, and education for type 2 and gestational diabetes
covered if criteria are metSep 21, 2026payer document
UnitedHealthcarePreventive Care Services (MP.016.59)
Pregnancy | Diabetes Screening: | Requires a Pregnancy Diagnosis Code
listed, no stanceJul 1, 2026payer document

Medicaid fee-for-service

  • AZ: $3.93 (lab), effective Oct 1, 2026
  • CO: $3.34 (lab_cdl), effective Apr 1, 2026
  • FL: $2.12 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $3.82 (podiatrist), effective Oct 1, 2014
  • IN: $3.34 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $2.95 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $3.93 (lab), effective Jan 1, 2026
  • LA: $3.91 (lab_radiology), effective Jul 1, 2012
  • MS: $3.54 (comprehensive), effective Jul 1, 2026
  • ND: $3.93 (physician), effective Aug 1, 2026
  • NE: $3.93 (lab), effective Jul 1, 2026
  • NY: $3.93 (lab), effective Aug 1, 2026
  • OH: $2.95 (lab), effective Apr 1, 2021
  • OK: $3.50 (physician, non-facility), effective Jul 1, 2026
  • TX: $3.65 (hhsc_family_planning_program, Hhsc Family Planning Program), effective Mar 1, 2021
  • VA: $3.93 (medical), effective Jan 1, 2020
  • VT: $3.83 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $3.14 (kidneycenters), effective Jul 1, 2026
  • WY: $3.54 (professional), effective Sep 1, 2025

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.