Payer policies › CPT 8664586645 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 86645 Payer coverage policies that name 86645 86645 appears in 3 coverage policies from Aetna, Blue Cross NC, Cigna.
Payer Policy Role in policy Reviewed Document Aetna Myalgic Encephalomyelitis - Chronic Fatigue Syndrome (ME/CSF) (0369) not covered May 20, 2026 payer document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 86000-86999) Mar 1, 2024 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $16.85 (lab), effective Oct 1, 2026 CO: $14.04 (lab_cdl), effective Jul 1, 2026 FL: $9.10 (lab_independent, non-facility), effective Jan 1, 2026 IL: $16.85 (practitioner), effective Apr 1, 2024 IN: $14.32 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024 KS: $10.74 (default, Exempt Physician), effective Jul 1, 2023 KY: $16.85 (lab), effective Jan 1, 2026 LA: $16.77 (lab_radiology), effective Jul 1, 2012 MS: $15.17 (comprehensive), effective Jul 1, 2026 ND: $16.85 (physician), effective Aug 1, 2026 NE: $16.85 (lab), effective Jul 1, 2026 NY: $8.11 (lab), effective Aug 1, 2026 OH: $12.64 (lab), effective Apr 1, 2021 OK: $14.99 (physician, non-facility), effective Jul 1, 2026 VA: $7.48 (medical), effective Jul 1, 2014 VT: $16.43 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $13.48 (kidneycenters), 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.