Payer policies › CPT 8557685576 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 85576 Payer coverage policies that name 85576 85576 appears in 3 coverage policies from Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.
Payer Policy Role in policy Reviewed Document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 85520-85999) Mar 1, 2024 payer document BlueCross BlueShield of South Carolina Laboratory/Pathology Services (CAM 472) listed, no stance Jan 1, 2026 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $24.91 (lab), effective Oct 1, 2026 CO: $14.28 (chp_plus, non-facility), effective Jul 1, 2026 FL: $13.46 (lab_independent, non-facility), effective Jan 1, 2026 IL: $23.45 (practitioner), effective Apr 1, 2024 IN: $14.11 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $10.90 (default, Exempt Physician), effective Jul 1, 2023 KY: $24.91 (lab), effective Jan 1, 2026 LA: $21.38 (lab_radiology), effective Jul 1, 2012 MA: $13.01 (physician_surgery), effective May 1, 2024 MS: $22.42 (comprehensive), effective Jul 1, 2026 ND: $24.91 (physician), effective Aug 1, 2026 NE: $24.91 (lab), effective Jul 1, 2026 NY: $10.82 (lab), effective Aug 1, 2026 OH: $13.63 (lab), effective Apr 1, 2019 OK: $22.16 (physician, non-facility), effective Jul 1, 2026 VA: $9.27 (medical), effective Jul 1, 2017 VT: $24.29 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $19.93 (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.