84482 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 84482

Payer coverage policies that name 84482

84482 appears in 9 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, BlueCross BlueShield of South Carolina, Centene, Cigna, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaAutism Spectrum Disorders (0648)not coveredOct 2, 2025payer document
Blue Cross & Blue Shield of MississippiFree Triiodothyronine T3 And Reverse T3 (L.2.04.406)covered if criteria are metpayer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 84030-84999)Mar 1, 2024payer document
Blue Cross NCThyroid Disease Testing AHS – G2045listed, no stanceApr 1, 2026payer document
BlueCross BlueShield of South CarolinaThyroid Disease Testing (CAM 135)
84442 | Thyroxine binding globulin (TBG)
listed, no stanceApr 1, 2026payer document
Centenecovered if criteria are metJan 1, 2026payer document
CenteneThyroid Hormones and Insulin Testing in Pediatrics Reference Number: CP.MP.154 (CP.MP.154)not coveredSep 1, 2023payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
Premera Blue CrossThyroid Disease Testinglisted, no stanceFeb 6, 2026payer document

Medicaid fee-for-service

  • AZ: $15.76 (lab), effective Oct 1, 2026
  • CO: $13.40 (lab_cdl), effective Apr 1, 2026
  • FL: $10.61 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $11.03 (practitioner), effective Apr 1, 2024
  • IN: $13.40 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $10.05 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $15.76 (lab), effective Jan 1, 2026
  • LA: $13.40 (lab_radiology), effective Jul 1, 2025
  • MS: $14.18 (comprehensive), effective Jul 1, 2026
  • ND: $15.76 (physician), effective Aug 1, 2026
  • NE: $15.76 (lab), effective Jul 1, 2026
  • NY: $5.76 (lab), effective Aug 1, 2026
  • OH: $11.82 (lab), effective Apr 1, 2021
  • OK: $14.02 (physician, non-facility), effective Jul 1, 2026
  • VA: $8.36 (medical), effective Jul 1, 2014
  • VT: $15.37 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $12.61 (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.