83010 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83010

Payer coverage policies that name 83010

83010 appears in 3 coverage policies from Aetna, Blue Cross NC, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaSutimlimab-jome (Enjaymo) (1006)listed, no stanceDec 3, 2025payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 83001-83993)Mar 1, 2024payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $12.58 (lab), effective Oct 1, 2026
  • CO: $10.48 (lab_cdl), effective Jul 1, 2026
  • FL: $6.80 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $8.86 (practitioner), effective Jan 1, 2013
  • IN: $10.69 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $9.44 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $12.58 (lab), effective Jan 1, 2026
  • LA: $12.52 (lab_radiology), effective Jul 1, 2012
  • MS: $11.32 (comprehensive), effective Jul 1, 2026
  • ND: $12.58 (physician), effective Aug 1, 2026
  • NE: $12.58 (lab), effective Jul 1, 2026
  • NY: $12.58 (lab), effective Aug 1, 2026
  • OH: $9.44 (lab), effective Apr 1, 2021
  • OK: $11.19 (physician, non-facility), effective Jul 1, 2026
  • VA: $4.39 (medical), effective Jul 1, 2014
  • VT: $12.27 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $10.06 (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.