84436 CPT® code: payer coverage and prior authorization84436 appears in 14 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, BlueCross BlueShield of South Carolina, Centene, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Autism Spectrum Disorders (0648) | not covered | Oct 2, 2025 | payer document |
| Aetna | Growth Hormone (GH) and Growth Hormone Antagonists (0170) | listed, no stance | Jun 26, 2026 | payer document |
| Aetna | Nonstandard Laboratory Test Panels (0499) | listed, no stance | Aug 3, 2026 | payer document |
| Aetna | Premenstrual Syndrome and Premenstrual Dysphoric Disorder (0512) | covered if criteria are met | Aug 5, 2026 | payer document |
| Aetna | Salivary Tests (0608) | not covered | Sep 23, 2026 | payer document |
| Anthem | Thyroid Testing (CG-LAB-20) | covered if criteria are met | Feb 19, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Thyroid Studies (L.2.04.416) | covered if criteria are met | 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 | Thyroid Disease Testing AHS – G2045 | listed, no stance | Apr 1, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Thyroid Disease Testing (CAM 135) | listed, no stance | Apr 1, 2026 | payer document |
| Centene | covered if criteria are met | Jan 1, 2026 | payer document | |
| Centene | Attention Deficit Hyperactivity Disorder Assessment and Treatment (CP.BH.124) | not covered | Mar 1, 2024 | payer document |
| Centene | Thyroid Hormones and Insulin Testing in Pediatrics Reference Number: CP.MP.154 (CP.MP.154) | not covered | Sep 1, 2023 | payer document |
| Premera Blue Cross | Preventive Care Hypothyroidism | 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.