84154 CPT® code: payer coverage and prior authorization84154 appears in 11 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Blue Shield of California, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Erectile Dysfunction and Peyronie's Disease (0007) | covered if criteria are met (range 84152-84154) | Jul 29, 2026 | payer document |
| Aetna | Prostate Biopsy (0698) | listed, no stance | Mar 2, 2026 | payer document |
| Aetna | Prostate Cancer Screening (0521) | covered if criteria are met | Aug 28, 2026 | payer document |
| Aetna | Tumor Markers (0352) | covered if criteria are met | Aug 25, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Pathogen Panel Testing (L.2.04.456) | not covered | payer document | |
| Blue Cross & Blue Shield of Mississippi | Prostate Specific Antigen Psa (L.2.04.419) | listed, no stance | payer document | |
| Blue Cross NC | Gene Expression Profiling and Protein Biomarkers for Prostate Cancer AHS - M2166 | listed, no stance | Apr 1, 2026 | payer document |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 84030-84999) | Mar 1, 2024 | payer document |
| Blue Cross NC | Prostate Specific Antigen (PSA) Testing AHS - G2008 | listed, no stance | Apr 1, 2026 | payer document |
| Blue Shield of California | Genetic and Protein Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer (2.04.33) | listed, no stance | payer document | |
| Premera Blue Cross | Preventive Care Prostate cancer screening | covered if criteria are met | Sep 21, 2026 | payer document |
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.