86408 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 86408

Payer coverage policies that name 86408

86408 appears in 6 coverage policies from Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Premera Blue Cross, Regence.

PayerPolicyRole in policyReviewedDocument
Blue Cross NCCoronavirus Testing in the Outpatient Setting AHS - G2174listed, no stanceJul 1, 2025payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 86000-86999)Mar 1, 2024payer document
BlueCross BlueShield of South CarolinaCoronavirus Testing in the Outpatient Setting (CAM 380)listed, no stanceJul 1, 2026payer document
CignaCOVID-19: In Vitro Diagnostic Testing (0557)covered if criteria are metMay 15, 2026payer document
Premera Blue CrossCoronavirus Testing in the Outpatient Settinglisted, no stanceOct 14, 2025payer document
RegenceCOVID-19 Testing (Laboratory 74)listed, no stanceJun 1, 2026payer document

Medicaid fee-for-service

  • AZ: $42.13 (lab), effective Oct 1, 2026
  • CO: $35.09 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $22.75 (lab_independent, non-facility), effective Jan 1, 2026
  • IN: $35.81 (professional, Advanced Practice Nurse (85%), non-facility), effective Apr 9, 2021
  • KS: $26.86 (default, Exempt Physician), effective Jan 1, 2023
  • KY: $42.13 (lab), effective Jan 1, 2026
  • LA: $35.81 (lab_radiology), effective Jul 1, 2025
  • MS: $37.92 (comprehensive), effective Jul 1, 2026
  • ND: $42.13 (physician), effective Aug 1, 2026
  • NE: $42.13 (lab), effective Jul 1, 2026
  • OH: $31.60 (lab), effective Apr 1, 2025
  • OK: $37.47 (physician, non-facility), effective Jul 1, 2026
  • TX: $39.18 (hhsc_family_planning_program, Hhsc Family Planning Program), effective Sep 1, 2024
  • VA: $37.07 (medical), effective Aug 10, 2020
  • VT: $41.08 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $33.70 (physician, facility), 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.