86352 CPT® code: payer coverage and prior authorization1 of 1 payer prior-auth lists that name 86352 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross and Blue Shield of Texas | Texas PA exemption (gold card), outpatient, fully insured | TX | prior auth required | Gold-card exemption available | Jul 1, 2026 | BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range) |
86352 appears in 11 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Cigna, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Allergy and Hypersensitivity (0038) | not covered | Mar 10, 2026 | payer document |
| Aetna | Nonstandard Laboratory Test Panels (0499) | listed, no stance | Aug 3, 2026 | payer document |
| Aetna | Transplant Immune Cell Function Assays (0773) | covered if criteria are met | Dec 23, 2025 | payer document |
| Aetna | Transplant Immune Cell Function Assays (0773) | not covered | Dec 23, 2025 | payer document |
| Anthem | Immune Cell Function Assay (LAB.00024) | unproven / investigational | Nov 6, 2025 | payer document |
| Blue Cross & Blue Shield of Mississippi | Immune Cell Function Assay | unproven / investigational | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Immune Cell Function Assay | not covered | Feb 4, 2026 | payer document |
| Blue Cross Blue Shield of Massachusetts | Immune Cell Function Assay (182) | unproven / investigational | payer document | |
| Blue Cross NC | Immune Cell Function Assay AHS - G2098 | listed, no stance | Jan 1, 2026 | payer 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 |
| Premera Blue Cross | Immune Cell Function Assay | listed, no stance | Oct 14, 2025 | payer document |
Prior authorization required or conditional in MS.
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.