86409 CPT® code: payer coverage and prior authorization86409 appears in 6 coverage policies from Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Premera Blue Cross, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Blue Cross NC | Coronavirus Testing in the Outpatient Setting AHS - G2174 | listed, no stance | Jul 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 | Coronavirus Testing in the Outpatient Setting (CAM 380) | listed, no stance | Jul 1, 2026 | payer document |
| Cigna | COVID-19: In Vitro Diagnostic Testing (0557) | covered if criteria are met | May 15, 2026 | payer document |
| Premera Blue Cross | Coronavirus Testing in the Outpatient Setting | listed, no stance | Oct 14, 2025 | payer document |
| Regence | COVID-19 Testing (Laboratory 74) | listed, no stance | Jun 1, 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.