83002 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83002

1 of 1 payer prior-auth lists that name 83002 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 83002

83002 appears in 10 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Centene, Cigna, Premera Blue Cross, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaErectile Dysfunction and Peyronie's Disease (0007)covered if criteria are met (range 83001-83002)Jul 29, 2026payer document
AetnaGrowth Hormone (GH) and Growth Hormone Antagonists (0170)listed, no stanceJun 26, 2026payer document
AetnaInfertility (0327)covered if criteria are metJul 16, 2026payer document
Blue Cross & Blue Shield of MississippiLuteinizing Hormone Lh Testing (L.2.04.412)covered if criteria are metpayer document
Blue Cross & Blue Shield of MississippiPathogen Panel Testing (L.2.04.456)not coveredpayer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 83001-83993)Mar 1, 2024payer document
Centenecovered if criteria are metJan 1, 2026payer document
CignaInfertility Services (0089)covered if criteria are metJun 15, 2025payer document
Premera Blue CrossInfertility and Assisted Reproduction Serviceslisted, no stanceMay 11, 2026payer document
UnitedHealthcareInfertility Diagnosis, Treatment, and Fertility Preservation (2026T0270NN)listed, no stanceJun 1, 2026payer document

Recent prior-auth changes

  • Jun 1, 2023: PA removed, Blue Shield of California Promise Health Plan

Medicaid fee-for-service

  • AZ: $18.52 (lab), effective Oct 1, 2026
  • CO: $18.52 (lab_cdl), effective Oct 1, 2025
  • FL: $10.00 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $12.96 (practitioner), effective Apr 1, 2024
  • IN: $15.74 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $13.89 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $18.52 (lab), effective Jan 1, 2026
  • LA: $18.42 (lab_radiology), effective Jul 1, 2012
  • MS: $16.67 (comprehensive), effective Jul 1, 2026
  • ND: $18.52 (physician), effective Aug 1, 2026
  • NE: $18.52 (lab), effective Jul 1, 2026
  • NY: $18.52 (lab), effective Aug 1, 2026
  • OH: $13.89 (lab), effective Jan 1, 2021
  • OK: $16.47 (physician, non-facility), effective Jul 1, 2026
  • VA: $18.52 (medical), effective Jan 1, 2020
  • VT: $18.06 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $14.82 (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.