83036 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83036

Payer coverage policies that name 83036

83036 appears in 12 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Blue Shield of California, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaDiabetes Tests, Programs and Supplies (0070)listed, no stanceFeb 20, 2026payer document
AetnaElectrodiagnostic Testing (0502)listed, no stanceJul 29, 2026payer document
AetnaJoint Resurfacing (0661)listed, no stanceOct 7, 2026payer document
AetnaSpinal Surgery: Laminectomy and Fusion (0743)listed, no stanceJul 30, 2026payer document
AetnaTotal Ankle Arthroplasty (0645)listed, no stanceSep 14, 2026payer document
AnthemOutpatient Glycated Hemoglobin and Protein Testing (CG-LAB-25)covered if criteria are metMay 14, 2026payer document
Blue Cross & Blue Shield of MississippiPathogen Panel Testing (L.2.04.456)not coveredpayer document
Blue Cross NCDiabetes Mellitus Testing - AHS G2006listed, no stanceOct 1, 2025payer document
Blue Cross NCPrenatal Screening (Nongenetic) AHS - G2035listed, no stanceOct 1, 2025payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 83001-83993)Mar 1, 2024payer document
Blue Shield of CaliforniaBSC2.11 | Diabetes Prevention Programlisted, no stancepayer document
Premera Blue CrossPreventive Care
Diabetes, prediabetes screening, and education for type 2 and gestational diabetes
covered if criteria are metSep 21, 2026payer document

Medicaid fee-for-service

  • AZ: $9.71 (lab), effective Oct 1, 2026
  • CO: $9.71 (lab_cdl), effective Oct 1, 2025
  • FL: $5.25 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $6.80 (practitioner), effective Apr 1, 2024
  • IN: $8.25 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $7.28 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $9.71 (lab), effective Jan 1, 2026
  • LA: $9.66 (lab_radiology), effective Jul 1, 2012
  • MS: $8.74 (comprehensive), effective Jul 1, 2026
  • MT: $0.00 (optometric, facility), effective Jan 1, 2020
  • ND: $9.71 (physician), effective Aug 1, 2026
  • NE: $9.71 (lab), effective Jul 1, 2026
  • NY: $9.71 (lab), effective Aug 1, 2026
  • OH: $7.28 (lab), effective Jan 1, 2021
  • OK: $8.64 (physician, non-facility), effective Jul 1, 2026
  • TX: $9.03 (hhsc_family_planning_program, Hhsc Family Planning Program), effective Mar 1, 2021
  • VA: $9.71 (medical), effective Jan 1, 2020
  • VT: $9.47 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $7.77 (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.