Payer policies › CPT 8607786077 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 86077 Payer coverage policies that name 86077 86077 appears in 2 coverage policies from Blue Cross NC, Cigna.
Payer Policy Role in policy Reviewed Document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 86000-86999) Mar 1, 2024 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $5.23 (outpatient_hospital, RF133), effective Oct 1, 2025 CO: $40.13 (chp_plus, non-facility), effective Jul 1, 2026 IL: $39.30 (practitioner), effective Jul 1, 2026 IN: $37.78 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KY: $39.16 (lab), effective Jan 1, 2026 MA: $36.14 (physician_surgery, facility), effective May 1, 2024 MS: $43.52 (comprehensive), effective Jul 1, 2026 ND: $56.70 (physician), effective Aug 1, 2026 OH: $29.34 (lab, facility), effective Apr 1, 2026 OK: $36.13 (physician, facility), effective Jul 1, 2026 TX: $42.23 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), non-facility), effective Sep 1, 2025 VA: $16.26 (medical, facility), effective Jul 1, 2005 VT: $22.46 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $23.31 (physician, facility), effective Jul 1, 2026 WY: $12.79 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.