Payer policies › CPT 8632086320 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 86320 Payer coverage policies that name 86320 86320 appears in 3 coverage policies from Blue Cross NC, BlueCross BlueShield of South Carolina, 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 BlueCross BlueShield of South Carolina Laboratory/Pathology Services (CAM 472) listed, no stance Jan 1, 2026 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $29.92 (lab), effective Oct 1, 2026 CO: $14.40 (chp_plus, non-facility), effective Jul 1, 2026 FL: $16.16 (lab_independent, non-facility), effective Jan 1, 2026 IL: $23.45 (practitioner), effective Apr 1, 2024 IN: $14.11 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $10.90 (default, Exempt Physician), effective Jul 1, 2023 KY: $29.92 (lab), effective Jan 1, 2026 LA: $25.43 (lab_radiology), effective Jul 1, 2025 MA: $13.01 (physician_surgery), effective May 1, 2024 MS: $15.18 (comprehensive), effective Jul 1, 2026 ND: $29.92 (physician), effective Aug 1, 2026 NE: $29.92 (lab), effective Jul 1, 2026 NY: $27.69 (lab), effective Aug 1, 2026 OH: $13.63 (lab), effective Apr 1, 2019 OK: $26.61 (physician, non-facility), effective Jul 1, 2026 VA: $26.33 (medical), effective Jul 1, 2025 VT: $29.17 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $23.94 (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.