86355 CPT® code: payer coverage and prior authorization86355 appears in 7 coverage policies from Aetna, Blue Cross NC, Cigna, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Lyme Disease and other Tick-Borne Diseases (0215) Alpha lipoic acid or “Healing” Detox Drips, testing for other tick-borne diseases from other organisms, antibiotic augmented thermo-eradication (AAT) therapy | not covered | Jul 21, 2026 | payer document |
| Aetna | Lysosomal Storage Disorder Treatments (0442) | listed, no stance | Jul 8, 2026 | payer document |
| Aetna | Myalgic Encephalomyelitis - Chronic Fatigue Syndrome (ME/CSF) (0369) | not covered | May 20, 2026 | payer document |
| Blue Cross NC | Flow Cytometry AHS - F2019 | listed, no stance | Apr 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 | Flow Cytometry (0538) | covered if criteria are met | Sep 15, 2026 | payer document |
| Premera Blue Cross | Flow Cytometry | 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.