Payer policies › CPT 8296582965 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 82965 Payer coverage policies that name 82965 82965 appears in 3 coverage policies from Aetna, Capital Blue Cross, Cigna.
Payer Policy Role in policy Reviewed Document Aetna Obsolete and Unreliable Tests and Procedures (0438)Lupus erythematosus (LE) cell test or the LE Cell Phenomenon test - no specific code . not covered Jul 16, 2026 payer document Capital Blue Cross Experimental and Investigational Procedures (MP 4.002)Procedure codes: Lab services listed, no stance Sep 1, 2026 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service Prior authorization required or conditional in MS.
AZ: $13.15 (lab), effective Oct 1, 2026 CO: $13.15 (lab_cdl), effective Oct 1, 2025 FL: $4.19 (lab_independent, non-facility), effective Jan 1, 2026 IL: $9.21 (practitioner), effective Apr 1, 2024 IN: $11.18 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024 KS: $7.88 (default, Exempt Physician), effective Jul 1, 1987 KY: $13.15 (lab), effective Jan 1, 2026 LA: $11.18 (lab_radiology), effective Jul 1, 2025 MS: $11.84 (comprehensive), effective Jul 1, 2026 ND: $13.15 (physician), effective Aug 1, 2026 NE: $13.15 (lab), effective Jul 1, 2026 NY: $8.88 (lab), effective Aug 1, 2026 OH: $9.86 (lab), effective Apr 1, 2019 OK: $11.70 (physician, non-facility), effective Jul 1, 2026 VA: $7.02 (medical), effective Jul 1, 2014 VT: $12.82 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $10.52 (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.