86147 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 86147

Payer coverage policies that name 86147

86147 appears in 11 coverage policies from Aetna, Blue Cross NC, Blue Shield of California, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaAnifrolumab-fnia (Saphnelo) (0997)listed, no stanceJun 5, 2026payer document
AetnaAutoimmune Antibody and Coagulation Testing (0662)listed, no stanceDec 8, 2025payer document
AetnaBelimumab (Benlysta) (0818)listed, no stanceJun 10, 2026payer document
AetnaCeliac Disease Laboratory Testing (0561)not coveredAug 3, 2026payer document
AetnaInfertility (0327)not coveredJul 16, 2026payer document
AetnaObinutuzumab (Gazyva) (0877)listed, no stanceJun 5, 2026payer document
AetnaParenteral Immunoglobulins (0206)listed, no stanceOct 8, 2026payer document
AetnaRecurrent Pregnancy Loss (0348)covered if criteria are metJun 23, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 86000-86999)Mar 1, 2024payer document
Blue Shield of CaliforniaSerum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases (2.04.123)listed, no stancepayer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $25.45 (lab), effective Oct 1, 2026
  • CO: $21.20 (lab_cdl), effective Jul 1, 2026
  • FL: $13.74 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $17.34 (practitioner), effective Apr 1, 2024
  • IN: $21.63 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024
  • KS: $19.09 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $25.45 (lab), effective Jan 1, 2026
  • LA: $21.63 (lab_radiology), effective Jul 1, 2025
  • MS: $22.91 (comprehensive), effective Jul 1, 2026
  • ND: $25.45 (physician), effective Aug 1, 2026
  • NE: $25.45 (lab), effective Jul 1, 2026
  • NY: $7.90 (lab), effective Aug 1, 2026
  • OH: $19.09 (lab), effective Apr 1, 2021
  • OK: $22.64 (physician, non-facility), effective Jul 1, 2026
  • TX: $23.67 (hhsc_family_planning_program, Hhsc Family Planning Program), effective Oct 27, 2023
  • VA: $9.08 (medical), effective Jul 1, 2014
  • VT: $24.81 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $20.36 (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.