86901 CPT® code: payer coverage and prior authorization86901 appears in 5 coverage policies from Blue Cross NC, BlueCross BlueShield of South Carolina, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | 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 | Maternity/Obstetrical Care Benefits (CAM 366) 85049 | BLOOD COUNT; PLATELET, AUTOMATED | listed, no stance | Feb 1, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Prenatal Screening (Nongenetics) (CAM 119) Number | listed, no stance | Jul 1, 2026 | payer document |
| Premera Blue Cross | Preventive Care Rh incompatibility screening | covered if criteria are met | Sep 21, 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.