83993 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 83993

Payer coverage policies that name 83993

83993 appears in 14 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, Centene, Cigna, Premera Blue Cross, Regence.

PayerPolicyRole in policyReviewedDocument
AetnaInflammatory Disease: Biomarker and Thiopurine Pharmacogenomic Testing (0249)covered if criteria are metApr 27, 2026payer document
AetnaIntestinal Transplantation (0605)not coveredSep 3, 2026payer document
Blue Cross & Blue Shield of MississippiFecal Analysis In The Diagnosis Of Intestinal Dysbiosisunproven / investigationalpayer document
Blue Cross & Blue Shield of MississippiFecal Calprotectin Testinglisted, no stancepayer document
Blue Cross & Blue Shield of Rhode IslandFecal Calprotectin Testingcovered if criteria are metFeb 4, 2026payer document
Blue Cross Blue Shield of MassachusettsFecal Calprotectin testing (329)listed, no stancepayer document
Blue Cross NCLaboratory Testing for the Diagnosis of Inflammatory Bowel Disease AHS – G2121listed, 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 CaliforniaFecal Analysis in the Diagnosis of Intestinal Dysbiosis (2.04.26)listed, no stancepayer document
Blue Shield of California| Fecal Calprotectin Testing (2.04.69)listed, no stancepayer document
CenteneFecal Calprotectin Assay (CP.MP.135)covered if criteria are metNov 1, 2017payer document
CignaFecal Calprotectin Testing (0121)covered if criteria are metMar 15, 2026payer document
Premera Blue CrossFecal Calprotectin Testing in Adultslisted, no stanceOct 14, 2025payer document
RegenceScreening Laboratory Testing (Laboratory 80)listed, no stanceDec 1, 2025payer document

Medicaid fee-for-service

  • AZ: $19.63 (lab), effective Oct 1, 2026
  • CO: $16.35 (lab_cdl), effective Jul 1, 2026
  • FL: $10.60 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $13.74 (practitioner), effective Apr 1, 2024
  • IN: $16.69 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $14.72 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $19.63 (lab), effective Jan 1, 2026
  • LA: $19.63 (lab_radiology), effective Jan 1, 2020
  • MS: $17.67 (comprehensive), effective Jul 1, 2026
  • ND: $19.63 (physician), effective Aug 1, 2026
  • NE: $19.63 (lab), effective Jul 1, 2026
  • NY: $11.39 (lab), effective Aug 1, 2026
  • OH: $14.72 (lab), effective Apr 1, 2025
  • OK: $17.46 (physician, non-facility), effective Jul 1, 2026
  • VA: $19.63 (medical), effective Jan 1, 2020
  • VT: $19.14 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $15.70 (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.