86704 CPT® code: payer coverage and prior authorization86704 appears in 10 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Premera Blue Cross, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Celiac Disease Laboratory Testing (0561) | not covered | Aug 3, 2026 | payer document |
| Aetna | Elivaldogene Autotemcel (Skysona) (1017) | listed, no stance | Apr 8, 2026 | payer document |
| Aetna | Hepatitis Screening (0835) | covered if criteria are met | Dec 9, 2025 | payer document |
| Aetna | Infertility (0327) | covered if criteria are met | Jul 16, 2026 | payer document |
| Blue Cross NC | Hepatitis Testing AHS – G2036 | listed, no stance | Apr 1, 2026 | payer document |
| Blue Cross NC | Prenatal Screening (Nongenetic) AHS - G2035 | listed, no stance | Oct 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 | Hepatitis Testing (CAM 127) 86692 | Antibody; hepatitis, delta agent | listed, no stance | Apr 1, 2026 | payer document |
| Premera Blue Cross | Preventive Care Hepatitis B screening | covered if criteria are met | Sep 21, 2026 | payer document |
| UnitedHealthcare | Preventive Care Services (MP.016.59) Infection Screening | Hepatitis B Virus Infection Screening: | Requires a Pregnancy Diagnosis Code | listed, no stance | Jul 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.