86363 CPT® code: payer coverage and prior authorization86363 appears in 6 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Antibody Tests for Neurologic Diseases (0340) | covered if criteria are met | Jul 8, 2026 | payer document |
| Aetna | Celiac Disease Laboratory Testing (0561) | covered if criteria are met | Aug 3, 2026 | payer document |
| Blue Cross NC | Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases AHS – G2123 | listed, no stance | Oct 1, 2025 | payer 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 | Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases (CAM 324) 83884 | Neurofilament light chain (NfL) | listed, no stance | Oct 1, 2025 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | 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.