85610 CPT® code: payer coverage and prior authorization85610 appears in 9 coverage policies from Aetna, Anthem, Blue Cross NC, Cigna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Clotting Factors (0131) | listed, no stance (range 85610-85611) | Apr 23, 2026 | payer document |
| Aetna | Fidanacogene Elaparvovec-dzkt (Beqvez) (1060) | listed, no stance | Apr 20, 2026 | payer document |
| Aetna | Remdesivir (Veklury) (0982) | listed, no stance | Jan 13, 2026 | payer document |
| Aetna | Valoctocogene Roxaparvovec-rvox (Roctavian) (1037) | listed, no stance | Apr 20, 2026 | payer document |
| Aetna | Venous Stenting for the Treatment of Idiopathic Intracranial Hypertension (1039) | listed, no stance | Jan 14, 2026 | payer document |
| Anthem | Preoperative Testing for Low Risk Invasive Procedures and Surgeries (CG-MED-61) | covered if criteria are met | Aug 13, 2026 | payer document |
| Anthem | Prothrombin Time (PT) (CG-LAB-37) | covered if criteria are met | Feb 19, 2026 | payer document |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 85520-85999) | Mar 1, 2024 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 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.