86705 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 86705

Payer coverage policies that name 86705

86705 appears in 8 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaCeliac Disease Laboratory Testing (0561)not coveredAug 3, 2026payer document
AetnaElivaldogene Autotemcel (Skysona) (1017)listed, no stanceApr 8, 2026payer document
AetnaHepatitis Screening (0835)covered if criteria are metDec 9, 2025payer document
AetnaInfertility (0327)covered if criteria are metJul 16, 2026payer document
Blue Cross & Blue Shield of Rhode IslandAcute Hepatitis Panelcovered if criteria are metMay 20, 2026payer document
Blue Cross NCHepatitis Testing AHS – G2036listed, no stanceApr 1, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 86000-86999)Mar 1, 2024payer document
Premera Blue CrossPreventive Care
Hepatitis B screening
covered if criteria are metSep 21, 2026payer document

Medicaid fee-for-service

  • AZ: $11.77 (lab), effective Oct 1, 2026
  • CO: $10.00 (lab_cdl), effective Apr 1, 2026
  • FL: $6.35 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $11.77 (practitioner), effective Apr 1, 2024
  • IN: $10.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $8.83 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $11.77 (lab), effective Jan 1, 2026
  • LA: $11.77 (lab_radiology), effective Jan 1, 2020
  • MS: $10.59 (comprehensive), effective Jul 1, 2026
  • ND: $11.77 (physician), effective Aug 1, 2026
  • NE: $11.77 (lab), effective Jul 1, 2026
  • NY: $10.20 (lab), effective Aug 1, 2026
  • OH: $8.83 (lab), effective Apr 1, 2021
  • OK: $10.47 (physician, non-facility), effective Jul 1, 2026
  • VA: $7.24 (medical), effective Jan 1, 2015
  • VT: $11.48 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $9.42 (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.