87140 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 87140

Payer coverage policies that name 87140

87140 appears in 7 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaAnthrax (0483)covered if criteria are metJul 29, 2026payer document
Blue Cross NCDiagnostic Testing of Sexually Transmitted Infections AHS – G2157listed, no stanceApr 1, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 87003-87999)Mar 1, 2024payer document
Blue Cross NCUrine Culture Testing for Bacteria AHS - G2156listed, no stanceOct 1, 2025payer document
BlueCross BlueShield of South CarolinaUrine Culture Testing for Bacteria (CAM 206)listed, no stanceJul 1, 2026payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
Premera Blue CrossUrine Culture Testing for Bacterialisted, no stanceOct 14, 2025payer document

Medicaid fee-for-service

  • AZ: $5.57 (lab), effective Oct 1, 2026
  • CO: $5.57 (lab_cdl), effective Oct 1, 2025
  • FL: $3.01 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $3.90 (practitioner), effective Apr 1, 2024
  • IN: $4.73 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $4.18 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $5.57 (lab), effective Jan 1, 2026
  • LA: $5.55 (lab_radiology), effective Jul 1, 2012
  • MS: $5.01 (comprehensive), effective Jul 1, 2026
  • ND: $5.57 (physician), effective Aug 1, 2026
  • NE: $5.57 (lab), effective Jul 1, 2026
  • OH: $4.18 (lab), effective Apr 1, 2021
  • OK: $4.95 (physician, non-facility), effective Jul 1, 2026
  • VA: $2.43 (medical), effective Jul 1, 2014
  • VT: $5.43 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $4.46 (kidneycenters), 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.