86036 CPT® code: payer coverage and prior authorization86036 appears in 8 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Allergy and Hypersensitivity (0038) | not covered | Mar 10, 2026 | payer document |
| Aetna | Celiac Disease Laboratory Testing (0561) | not covered | Aug 3, 2026 | payer document |
| Aetna | Inflammatory Disease: Biomarker and Thiopurine Pharmacogenomic Testing (0249) | not covered | Apr 27, 2026 | payer document |
| Blue Cross NC | Laboratory Testing for the Diagnosis of Inflammatory Bowel Disease AHS – G2121 | listed, no stance | Oct 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 | Laboratory Testing for the Diagnosis of Inflammatory Bowel Disease (CAM 318) 83993 | Calprotectin, fecal | listed, no stance | Oct 1, 2025 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
| Premera Blue Cross | Laboratory Testing for the Diagnosis of Inflammatory Bowel Disease | 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.