Payer policies › CPT 8301283012 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 83012 Payer coverage policies that name 83012 83012 appears in 3 coverage policies from Aetna, Blue Cross NC, Cigna.
Payer Policy Role in policy Reviewed Document Aetna Sutimlimab-jome (Enjaymo) (1006) listed, no stance Dec 3, 2025 payer document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 83001-83993) Mar 1, 2024 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $26.89 (lab), effective Oct 1, 2026 CO: $22.40 (lab_cdl), effective Jul 1, 2026 FL: $14.52 (lab_independent, non-facility), effective Jan 1, 2026 IL: $18.82 (practitioner), effective Apr 1, 2024 IN: $22.86 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024 KS: $11.81 (default, Exempt Physician), effective Jul 1, 1987 KY: $26.89 (lab), effective Jan 1, 2026 LA: $22.86 (lab_radiology), effective Jul 1, 2025 MS: $24.20 (comprehensive), effective Jul 1, 2026 ND: $26.89 (physician), effective Aug 1, 2026 NE: $26.89 (lab), effective Jul 1, 2026 OH: $20.17 (lab), effective Apr 1, 2019 OK: $23.92 (physician, non-facility), effective Jul 1, 2026 VA: $6.15 (medical), effective Jul 1, 2014 VT: $26.22 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $21.51 (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.