83789 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83789

Payer coverage policies that name 83789

83789 appears in 8 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaInflammatory Disease: Biomarker and Thiopurine Pharmacogenomic Testing (0249)not coveredApr 27, 2026payer document
AetnaPharmacogenetic and Pharmacodynamic Testing (0715)covered if criteria are metOct 8, 2026payer document
AetnaTransthyretin-Mediated (ATTR) Amyloidosis (0939)listed, no stanceAug 10, 2026payer document
AetnaTumor Markers (0352)covered if criteria are metAug 25, 2026payer document
Blue Cross & Blue Shield of MississippiOrganic Acid Testing (L.2.04.413)not coveredpayer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 83001-83993)Mar 1, 2024payer document
Blue Cross NCTesting for Alpha-1 Antitrypsin Deficiency AHS - M2068listed, no stanceOct 1, 2025payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $24.11 (lab), effective Oct 1, 2026
  • CO: $20.08 (lab_cdl), effective Jul 1, 2026
  • FL: $13.02 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $16.42 (practitioner), effective Apr 1, 2024
  • IN: $20.49 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024
  • KY: $24.11 (lab), effective Jan 1, 2026
  • LA: $20.49 (lab_radiology), effective Jul 1, 2025
  • MS: $21.70 (comprehensive), effective Jul 1, 2026
  • ND: $24.11 (physician), effective Aug 1, 2026
  • NE: $24.11 (lab), effective Jul 1, 2026
  • OH: $18.08 (lab), effective Apr 1, 2019
  • OK: $21.45 (physician, non-facility), effective Jul 1, 2026
  • VA: $20.86 (medical), effective Jul 1, 2014
  • VT: $23.51 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $19.29 (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.