83037 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83037

Payer coverage policies that name 83037

83037 appears in 8 coverage policies from Aetna, Blue Cross NC, Cigna, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaDiabetes Tests, Programs and Supplies (0070)listed, no stanceFeb 20, 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
Blue Cross NCDiabetes Mellitus Testing - AHS G2006listed, no stanceOct 1, 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
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
  • 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
  • MS: $8.74 (comprehensive), effective Jul 1, 2026
  • ND: $9.71 (physician), effective Aug 1, 2026
  • OH: $7.28 (lab), effective Jan 1, 2021
  • TX: $9.03 (hhsc_family_planning_program, Hhsc Family Planning Program), effective Oct 27, 2023
  • 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.