82952 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82952

Payer coverage policies that name 82952

82952 appears in 6 coverage policies from Aetna, Blue Cross NC, Premera Blue Cross, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaTeplizumab-mzwv (Tzield) (1022)listed, no stanceDec 3, 2025payer document
AetnaWeight Reduction Programs and Devices (0039)listed, no stanceMar 10, 2026payer document
Blue Cross NCDiabetes Mellitus Testing - AHS G2006listed, no stanceOct 1, 2025payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 82009-82958)Mar 1, 2024payer 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: $3.92 (lab), effective Oct 1, 2026
  • CO: $3.33 (lab_cdl), effective Apr 1, 2026
  • FL: $2.12 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $3.72 (practitioner), effective Mar 1, 2013
  • IN: $3.33 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $2.94 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $3.92 (lab), effective Jan 1, 2026
  • LA: $3.91 (lab_radiology), effective Jul 1, 2012
  • MS: $3.53 (comprehensive), effective Jul 1, 2026
  • ND: $3.92 (physician), effective Aug 1, 2026
  • NE: $3.92 (lab), effective Jul 1, 2026
  • NY: $1.41 (lab), effective Aug 1, 2026
  • OH: $2.94 (lab), effective Jan 1, 2021
  • OK: $3.49 (physician, non-facility), effective Jul 1, 2026
  • VA: $1.76 (medical), effective Jul 1, 2014
  • VT: $3.82 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $3.14 (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.