83015 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83015

Payer coverage policies that name 83015

83015 appears in 10 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaAutism Spectrum Disorders (0648)not coveredOct 2, 2025payer document
AetnaChelation Therapy (0234)covered if criteria are metFeb 11, 2026payer document
AetnaHair Analysis (0300)covered if criteria are metApr 17, 2026payer document
AetnaNonstandard Laboratory Test Panels (0499)listed, no stanceAug 3, 2026payer document
Blue Cross NCDiagnosis of Idiopathic Environmental Intolerance AHS - G2056listed, no stanceJan 1, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 83001-83993)Mar 1, 2024payer document
BlueCross BlueShield of South CarolinaDiagnosis and Management of Idiopathic Environmental Intolerance (i.e., Clinical Ecology) (CAM 267)
Code Number
listed, no stanceJan 1, 2026payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Medical Policies Moving to MCG Guidelines
Spectrum Disorders (ASD) | 70460, 70470, 70496, 70551, | Disorders – Gene Panels
listed, no stanceJan 1, 2026payer document
Premera Blue CrossDiagnosis of Idiopathic Environmental Intolerancelisted, no stanceFeb 6, 2026payer document

Medicaid fee-for-service

  • AZ: $20.94 (lab), effective Oct 1, 2026
  • CO: $17.44 (lab_cdl), effective Jul 1, 2026
  • FL: $11.30 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $18.46 (practitioner), effective Oct 1, 2008
  • IN: $17.80 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2019
  • KS: $14.40 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $20.94 (lab), effective Jan 1, 2026
  • LA: $17.80 (lab_radiology), effective Jul 1, 2025
  • MS: $18.85 (comprehensive), effective Jul 1, 2026
  • ND: $20.94 (physician), effective Aug 1, 2026
  • NE: $20.94 (lab), effective Jul 1, 2026
  • NY: $20.94 (lab), effective Aug 1, 2026
  • OH: $15.71 (lab), effective Apr 1, 2019
  • OK: $18.63 (physician, non-facility), effective Jul 1, 2026
  • VA: $18.15 (medical), effective Jul 1, 2014
  • VT: $20.42 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $16.75 (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.