Payer policies › CPT 8675986759 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 86759 Payer coverage policies that name 86759 86759 appears in 3 coverage policies from Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Cigna.
Payer Policy Role in policy Reviewed Document Blue Cross & Blue Shield of Mississippi Pathogen Panel Testing (L.2.04.456) not covered 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: $18.23 (lab), effective Oct 1, 2026 CO: $18.23 (lab_cdl), effective Oct 1, 2025 FL: $9.85 (lab_independent, non-facility), effective Jan 1, 2026 IL: $16.80 (practitioner), effective Mar 1, 2013 IN: $15.50 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024 KS: $11.62 (default, Exempt Physician), effective Jul 1, 2023 KY: $18.23 (lab), effective Jan 1, 2026 LA: $15.50 (lab_radiology), effective Jul 1, 2025 MS: $16.41 (comprehensive), effective Jul 1, 2026 ND: $18.23 (physician), effective Aug 1, 2026 NE: $18.23 (lab), effective Jul 1, 2026 NY: $14.73 (lab), effective Aug 1, 2026 OH: $13.67 (lab), effective Apr 1, 2019 OK: $16.22 (physician, non-facility), effective Jul 1, 2026 VA: $1.72 (medical), effective Jul 1, 2014 VT: $17.77 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $14.58 (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.