83701 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83701

Payer coverage policies that name 83701

83701 appears in 23 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, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Regence, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaCardiovascular Disease Risk Tests (0381)not coveredAug 25, 2026payer document
Blue Cross & Blue Shield of MississippiBiomarker Testing In Risk Assessment And Management Of Cardiovascular Diseaseunproven / investigationalpayer document
Blue Cross & Blue Shield of Rhode IslandBiomarker Testing in Risk Assessment and Management of Cardiovascular Diseasecovered if criteria are metSep 2, 2026payer document
Blue Cross Blue Shield of MassachusettsNovel Biomarkers in Risk Assessment and Management of Cardiovascular Disease (283)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 Shield of CaliforniaBiomarker Testing in Risk Assessment and Management of Cardiovascular Disease (2.04.65)listed, no stancepayer document
BlueCross BlueShield of South CarolinaCardiovascular Disease Risk Assessment (CAM 188)listed, no stanceApr 1, 2026payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Biomarker Testing in Risk Assessment and Management of Cardiovascular Disease (MED207.008)
CPT Codes 81291, 81401, 82172, 82397, 82465, 82610, 82652, 82664, 83090,		listed, no stanceJul 15, 2026payer document
RegenceBiomarkers for Cardiovascular Disease (Laboratory 78)listed, no stanceFeb 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (2026T0389EE)listed, no stanceApr 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (CS015.W)listed, no stanceMay 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (for Idaho Only) (CS015ID.B)listed, no stanceJul 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (for Kansas Only) (CS015KS.03)listed, no stanceMay 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (for Kentucky Only) (CS015KY.10)listed, no stanceJan 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (for Nebraska Only) (CS015NE.W)listed, no stanceMay 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (for New Jersey Only) (CS015NJ.R)listed, no stanceMay 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (for New Mexico Only) (CS015NM.D)listed, no stanceMay 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (for North Carolina Only) (CSNCT0389.08)listed, no stanceMay 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (for Ohio Only) (CS015OH.G)listed, no stanceJun 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (for Pennsylvania Only) (CS015PA.S)listed, no stanceMay 1, 2026payer document
UnitedHealthcareCardiovascular Disease Risk Tests (for Tennessee Only) (CS015TN.S)listed, no stanceMay 1, 2026payer document

Medicaid fee-for-service

  • AZ: $33.86 (lab), effective Oct 1, 2026
  • CO: $28.21 (lab_cdl), effective Jul 1, 2026
  • FL: $14.56 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $23.70 (practitioner), effective Apr 1, 2024
  • IN: $28.78 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024
  • KS: $15.00 (default, Exempt Physician), effective Jan 1, 2006
  • KY: $33.86 (lab), effective Jan 1, 2026
  • LA: $28.78 (lab_radiology), effective Jul 1, 2025
  • MS: $30.47 (comprehensive), effective Jul 1, 2026
  • ND: $33.86 (physician), effective Aug 1, 2026
  • NE: $33.86 (lab), effective Jul 1, 2026
  • OH: $25.40 (lab), effective Apr 1, 2019
  • OK: $30.12 (physician, non-facility), effective Jul 1, 2026
  • VA: $29.00 (medical), effective Jul 1, 2014
  • VT: $33.01 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $27.09 (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.