86005 CPT® code: payer coverage and prior authorization86005 appears in 13 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, BlueCross BlueShield of South Carolina, Centene, Cigna, Premera Blue Cross, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Allergy and Hypersensitivity (0038) | covered if criteria are met | Mar 10, 2026 | payer document |
| Aetna | Autism Spectrum Disorders (0648) | not covered | Oct 2, 2025 | payer document |
| Aetna | Omalizumab (0670) | listed, no stance | Aug 21, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Allergy Testing (L.2.01.428) | listed, no stance | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Allergy Testing sad | not covered | Mar 18, 2026 | payer document |
| Blue Cross NC | Allergen Testing AHS – G2031 | listed, no stance | Apr 1, 2026 | payer document |
| Blue Cross NC | Allergy Immunotherapy (Desensitization) | listed, no stance | Nov 1, 2025 | payer document |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 86000-86999) | Mar 1, 2024 | payer document |
| BlueCross BlueShield of South Carolina | Allergen Testing (CAM 051) | listed, no stance | Apr 1, 2026 | payer document |
| Centene | Allergy Testing and Therapy (CP.MP.100) | covered if criteria are met | Sep 1, 2023 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
| Premera Blue Cross | Allergen Testing | listed, no stance | Feb 6, 2026 | payer document |
| Regence | Allergy and Sensitivity Tests of Uncertain Efficacy (Laboratory 01) | listed, no stance | Jun 1, 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.