84152 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 84152

Payer coverage policies that name 84152

84152 appears in 8 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaErectile Dysfunction and Peyronie's Disease (0007)covered if criteria are met (range 84152-84154)Jul 29, 2026payer document
AetnaProstate Biopsy (0698)listed, no stanceMar 2, 2026payer document
AetnaProstate Cancer Screening (0521)covered if criteria are metAug 28, 2026payer document
AetnaTumor Markers (0352)covered if criteria are metAug 25, 2026payer document
Blue Cross & Blue Shield of MississippiProstate Specific Antigen Psa (L.2.04.419)listed, no stancepayer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 84030-84999)Mar 1, 2024payer document
Blue Cross NCProstate Specific Antigen (PSA) Testing AHS - G2008listed, no stanceApr 1, 2026payer document
Premera Blue CrossPreventive Care
Prostate cancer screening
covered if criteria are metSep 21, 2026payer document

Medicaid fee-for-service

  • AZ: $18.39 (lab), effective Oct 1, 2026
  • CO: $15.32 (lab_cdl), effective Jul 1, 2026
  • FL: $10.33 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $14.40 (practitioner), effective Oct 1, 2008
  • IN: $15.63 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $13.79 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $18.39 (lab), effective Jan 1, 2026
  • LA: $18.39 (lab_radiology), effective Jan 1, 2020
  • MS: $16.55 (comprehensive), effective Jul 1, 2026
  • ND: $18.39 (physician), effective Aug 1, 2026
  • NE: $18.39 (lab), effective Jul 1, 2026
  • NY: $18.39 (lab), effective Aug 1, 2026
  • OH: $13.79 (lab), effective Apr 1, 2021
  • OK: $16.36 (physician, non-facility), effective Jul 1, 2026
  • VA: $18.39 (medical), effective Jan 1, 2020
  • VT: $17.93 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $14.71 (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.