83009 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83009

Payer coverage policies that name 83009

83009 appears in 6 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaHelicobacter Pylori Infection Testing (0177)not coveredMar 20, 2026payer document
AetnaUpper Gastrointestinal Endoscopy and Gastrointestinal Biopsy (0738)listed, no stanceOct 29, 2025payer document
Blue Cross NCHelicobacter Pylori Testing AHS – G2044listed, no stanceApr 1, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 83001-83993)Mar 1, 2024payer document
BlueCross BlueShield of South CarolinaTesting for Diagnosis of Helicobacter Pylori (CAM 271)listed, no stanceApr 1, 2026payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $67.36 (lab), effective Oct 1, 2026
  • CO: $67.36 (lab_cdl), effective Oct 1, 2025
  • FL: $45.64 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $47.15 (practitioner), effective Apr 1, 2024
  • IN: $57.26 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $50.52 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $67.36 (lab), effective Jan 1, 2026
  • LA: $57.26 (lab_radiology), effective Jul 1, 2025
  • MS: $60.62 (comprehensive), effective Jul 1, 2026
  • ND: $67.36 (physician), effective Aug 1, 2026
  • NE: $67.36 (lab), effective Jul 1, 2026
  • NY: $67.36 (lab), effective Aug 1, 2026
  • OH: $50.52 (lab), effective Apr 1, 2021
  • OK: $59.92 (physician, non-facility), effective Jul 1, 2026
  • VA: $67.36 (medical), effective Jan 1, 2020
  • VT: $65.68 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $53.89 (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.