82985 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 82985

Payer coverage policies that name 82985

82985 appears in 4 coverage policies from Aetna, Anthem, Blue Cross NC, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaTumor Markers (0352)listed, no stanceAug 25, 2026payer document
AnthemOutpatient Glycated Hemoglobin and Protein Testing (CG-LAB-25)covered if criteria are metMay 14, 2026payer document
Blue Cross NCDiabetes Mellitus Testing - AHS G2006listed, no stanceOct 1, 2025payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $16.76 (lab), effective Oct 1, 2026
  • CO: $16.76 (lab_cdl), effective Oct 1, 2025
  • FL: $9.05 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $13.42 (practitioner), effective Oct 1, 2008
  • IN: $14.25 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2019
  • KS: $10.80 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $16.76 (lab), effective Jan 1, 2026
  • LA: $14.99 (lab_radiology), effective Jul 1, 2012
  • MS: $15.08 (comprehensive), effective Jul 1, 2026
  • ND: $16.76 (physician), effective Aug 1, 2026
  • NE: $16.76 (lab), effective Jul 1, 2026
  • NY: $10.75 (lab), effective Aug 1, 2026
  • OH: $12.57 (lab), effective Apr 1, 2021
  • OK: $14.91 (physician, non-facility), effective Jul 1, 2026
  • VA: $11.20 (medical), effective Jul 1, 2014
  • VT: $16.34 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $13.41 (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.