86376 CPT® code: payer coverage and prior authorization86376 appears in 8 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Multiple Sclerosis (0264) | not covered | Sep 10, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Thyroid Studies (L.2.04.416) | covered if criteria are met | payer document | |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 86000-86999) | Mar 1, 2024 | payer document |
| Blue Cross NC | Thyroid Disease Testing AHS – G2045 | listed, no stance | Apr 1, 2026 | payer document |
| Blue Shield of California | Serum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases (2.04.123) | listed, no stance | payer document | |
| BlueCross BlueShield of South Carolina | Thyroid Disease Testing (CAM 135) 84442 | Thyroxine binding globulin (TBG) | listed, no stance | Apr 1, 2026 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Serum Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases (MED207.159) CPT Codes 81599, 83520, 84999, 86038, 86039, 86146, 86147, 86200, 86225, | listed, no stance | Oct 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.