Payer policies › CPT 8675086750 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 86750 Payer coverage policies that name 86750 86750 appears in 4 coverage policies from Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.
Payer Policy Role in policy Reviewed Document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 86000-86999) Mar 1, 2024 payer document Blue Cross NC Testing for Vector-Borne Infections AHS – G2158 listed, no stance Oct 1, 2025 payer document BlueCross BlueShield of South Carolina Testing for Vector-Borne Infections (CAM 210)86280 | Hemagglutination inhibition test (HAI) listed, no stance Oct 1, 2025 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $13.19 (lab), effective Oct 1, 2026 CO: $11.21 (lab_cdl), effective Apr 1, 2026 FL: $7.12 (lab_independent, non-facility), effective Jan 1, 2026 IL: $10.20 (practitioner), effective Mar 1, 2013 IN: $11.21 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020 KS: $5.62 (default, Exempt Physician), effective Apr 1, 1993 KY: $13.19 (lab), effective Jan 1, 2026 LA: $13.14 (lab_radiology), effective Jul 1, 2012 MS: $11.87 (comprehensive), effective Jul 1, 2026 ND: $13.19 (physician), effective Aug 1, 2026 NE: $13.19 (lab), effective Jul 1, 2026 NY: $13.19 (lab), effective Aug 1, 2026 OH: $9.89 (lab), effective Apr 1, 2021 OK: $11.73 (physician, non-facility), effective Jul 1, 2026 VA: $9.20 (medical), effective Jul 1, 2014 VT: $12.86 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $10.55 (physician, facility), 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.