Payer policies › CPT 8688586885 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 86885 Payer coverage policies that name 86885 86885 appears in 2 coverage policies from Blue Cross NC, 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 Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $5.72 (lab), effective Oct 1, 2026 CO: $4.86 (lab_cdl), effective Apr 1, 2026 FL: $3.09 (lab_independent, non-facility), effective Jan 1, 2026 IL: $5.57 (practitioner), effective Apr 1, 2024 IN: $4.86 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020 KS: $4.29 (default, Exempt Physician), effective Jul 1, 2023 KY: $5.72 (lab), effective Jan 1, 2026 LA: $5.69 (lab_radiology), effective Jul 1, 2012 MS: $129.38 (comprehensive), effective Jul 1, 2026 ND: $5.72 (physician), effective Aug 1, 2026 NE: $5.72 (lab), effective Jul 1, 2026 OH: $4.29 (lab), effective Apr 1, 2021 OK: $5.09 (physician, non-facility), effective Jul 1, 2026 TX: $5.32 (hhsc_family_planning_program, Hhsc Family Planning Program), effective Mar 1, 2021 VA: $5.72 (medical), effective Jan 1, 2020 VT: $132.29 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $4.58 (kidneycenters), effective Jul 1, 2026 WY: $75.35 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.