83090 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83090

Payer coverage policies that name 83090

83090 appears in 26 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Centene, Cigna, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaAge-Related Macular Degeneration (0765)not coveredJan 14, 2026payer document
AetnaAlzheimer's Disease Tests (0349)not coveredAug 4, 2026payer document
AetnaAutism Spectrum Disorders (0648)not coveredOct 2, 2025payer document
AetnaBiochemical Markers of Bone Remodeling (0562)not coveredAug 21, 2026payer document
AetnaErectile Dysfunction and Peyronie's Disease (0007)not coveredJul 29, 2026payer document
AetnaHomocysteine Testing (0763)covered if criteria are metNov 12, 2025payer document
AetnaInfertility (0327)not coveredJul 16, 2026payer document
AetnaNonstandard Laboratory Test Panels (0499)listed, no stanceAug 3, 2026payer document
AetnaRecurrent Pregnancy Loss (0348)not coveredJun 23, 2026payer document
AetnaVitamin B-12 Therapy (0536)covered if criteria are metAug 20, 2026payer document
Blue Cross & Blue Shield of MississippiHomocysteine Testing In The Screening Diagnosis And Management Of Cardiovascular Disease And Venous Thromboembolic Diseaseunproven / investigationalpayer document
Blue Cross & Blue Shield of Rhode IslandHomocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic Disordersnot coveredFeb 18, 2026payer document
Blue Cross Blue Shield of MassachusettsHomocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic Disease (016)unproven / investigationalpayer document
Blue Cross NCCardiovascular Disease Risk Assessment AHS – G2050listed, no stanceApr 1, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 83001-83993)Mar 1, 2024payer document
Blue Cross NCTesting of Homocysteine Metabolism Related Conditions AHS - M2141listed, no stanceJan 1, 2026payer document
Blue Cross NCVitamin B12 and Methylmalonic Acid Testing AHS - G2014listed, no stanceJan 1, 2026payer document
Blue Shield of CaliforniaBiomarker Testing in Risk Assessment and Management of Cardiovascular Disease (2.04.65)listed, no stancepayer document
Blue Shield of CaliforniaHomocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic Disorders (2.04.23)listed, no stancepayer document
BlueCross BlueShield of South CarolinaCardiovascular Disease Risk Assessment (CAM 188)listed, no stanceApr 1, 2026payer document
BlueCross BlueShield of South CarolinaTesting of Homocysteine Metabolism-Related Conditions (CAM 162)
Code Number
listed, no stanceJan 1, 2026payer document
CenteneHomocysteine T | esting (CP.MP.121)covered if criteria are metMar 1, 2023payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
Premera Blue CrossCardiovascular Risk Panels (2.04.509)listed, no stanceFeb 23, 2026payer document
Premera Blue CrossTesting of Homocysteine Metabolism-Related Conditionslisted, no stanceFeb 6, 2026payer document
Premera Blue CrossVitamin B12 And Methylmalonic Acid Testinglisted, no stanceOct 14, 2025payer document

Medicaid fee-for-service

  • AZ: $17.92 (lab), effective Oct 1, 2026
  • CO: $17.92 (lab_cdl), effective Oct 1, 2025
  • FL: $7.19 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $26.40 (practitioner), effective Mar 1, 2013
  • IN: $15.23 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $13.44 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $17.92 (lab), effective Jan 1, 2026
  • LA: $17.92 (lab_radiology), effective Jan 1, 2020
  • MS: $16.13 (comprehensive), effective Jul 1, 2026
  • ND: $17.92 (physician), effective Aug 1, 2026
  • NE: $17.92 (lab), effective Jul 1, 2026
  • NY: $17.92 (lab), effective Aug 1, 2026
  • OH: $13.44 (lab), effective Apr 1, 2021
  • OK: $15.94 (physician, non-facility), effective Jul 1, 2026
  • VA: $17.92 (medical), effective Jan 1, 2020
  • VT: $17.47 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $14.34 (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.