Payer policies › CPT 8693086930 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 86930 Payer coverage policies that name 86930 86930 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: $43.45 (lab), effective Oct 1, 2026 CO: $40.31 (chp_plus, non-facility), effective Jul 1, 2026 FL: $16.65 (lab_independent, non-facility), effective Jan 1, 2026 IN: $55.31 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026 KS: $189.62 (default, Exempt Physician), effective Jul 1, 2023 KY: $0.00 (physician, facility), effective Jan 1, 2026 LA: $9.39 (lab_radiology), effective Jul 1, 2012 MS: $52.09 (comprehensive), effective Jul 1, 2026 ND: $0.00 (physician), effective Aug 1, 2026 OH: $21.45 (lab), effective Jan 1, 2018 VA: $1.35 (medical), effective Jan 1, 1993 VT: $0.00 (outpatient_hospital_opps), effective Feb 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.