Payer policies › CPT 8648586485 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 86485 Payer coverage policies that name 86485 86485 appears in 5 coverage policies from Aetna, Blue Cross NC, Centene, Cigna.
Payer Policy Role in policy Reviewed Document Aetna Allergy and Hypersensitivity (0038) not covered Mar 10, 2026 payer document Aetna Autism Spectrum Disorders (0648) not covered Oct 2, 2025 payer document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 86000-86999) Mar 1, 2024 payer document Centene Allergy Testing and Therapy (CP.MP.100) not covered Sep 1, 2023 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $20.25 (lab), effective Oct 1, 2026 IL: $4.00 (practitioner), effective Jul 1, 2026 IN: $0.00 (professional, facility), effective Jan 1, 2010 KS: $13.57 (default, Exempt Physician), effective Dec 18, 2009 KY: $32.49 (lab), effective Jan 1, 2026 LA: $5.80 (lab_radiology), effective Jul 1, 2012 MS: $21.96 (comprehensive), effective Jul 1, 2026 ND: $0.00 (physician), effective Aug 1, 2026 NY: $5.05 (ordered_ambulatory), effective Jul 24, 2026 OH: $9.00 (lab), effective Jan 1, 2018 OK: $32.01 (physician, non-facility), effective Jul 1, 2026 TX: $13.63 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), non-facility), effective Sep 1, 2025 VA: $3.92 (medical), effective Jul 1, 2005 VT: $22.46 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $19.79 (physician, facility), effective Jul 1, 2026 WY: $12.79 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.