83013 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83013

Payer coverage policies that name 83013

83013 appears in 6 coverage policies from Aetna, Blue Cross NC, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaHelicobacter Pylori Infection Testing (0177)covered if criteria are metMar 20, 2026payer document
AetnaSmell and Taste Disorders: Diagnosis (0390)
Genotyping of the TAS2R38 gene, cerebrospinal fluid SARS-CoV-2 antibody testing
not coveredMay 26, 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
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
  • IL: $47.15 (practitioner), effective Apr 1, 2024
  • IN: $57.26 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $42.95 (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.