85301 CPT® code: payer coverage and prior authorization85301 appears in 10 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Autoimmune Antibody and Coagulation Testing (0662) | listed, no stance (range 85300-85306) | Dec 8, 2025 | payer document |
| Aetna | Cardiovascular Disease Risk Tests (0381) | not covered | Aug 25, 2026 | payer document |
| Aetna | Clotting Factors (0131) | listed, no stance | Apr 23, 2026 | payer document |
| Aetna | Infertility (0327) | not covered | Jul 16, 2026 | payer document |
| Aetna | Recurrent Pregnancy Loss (0348) | not covered | Jun 23, 2026 | payer document |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 85300-85397) | Mar 1, 2024 | payer document |
| Blue Cross NC | Venous and Arterial Thrombosis Risk Testing AHS - M2041 | listed, no stance | Apr 1, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Venous and Arterial Thrombosis Risk Testing (CAM 283) | listed, no stance | Apr 1, 2026 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
| Premera Blue Cross | Venous and Arterial Thrombosis Risk Testing | listed, no stance | Oct 14, 2025 | 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.