87150 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 87150

Payer coverage policies that name 87150

87150 appears in 9 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaAnthrax (0483)covered if criteria are metJul 29, 2026payer document
AetnaPolymerase Chain Reaction Testing: Selected Indications (0650)covered if criteria are metSep 10, 2026payer document
Blue Cross NCDiagnosis of Vaginitis AHS - M2057listed, no stanceApr 1, 2026payer document
Blue Cross NCHelicobacter Pylori Testing AHS – G2044listed, no stanceApr 1, 2026payer document
Blue Cross NCOnychomycosis Testing AHS - M2172listed, no stanceApr 1, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 87003-87999)Mar 1, 2024payer document
BlueCross BlueShield of South CarolinaOnychomycosis Testing (CAM 243)listed, no stanceApr 1, 2026payer document
BlueCross BlueShield of South CarolinaTesting for Diagnosis of Active or Latent Tuberculosis (CAM 336)listed, no stanceOct 1, 2025payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $35.09 (lab), effective Oct 1, 2026
  • CO: $29.23 (lab_cdl), effective Jul 1, 2026
  • FL: $16.02 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $24.56 (practitioner), effective Feb 1, 2025
  • IN: $29.83 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $25.70 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $35.09 (lab), effective Jan 1, 2026
  • LA: $34.61 (lab_radiology), effective Jul 1, 2012
  • MS: $31.58 (comprehensive), effective Jul 1, 2026
  • ND: $35.09 (physician), effective Aug 1, 2026
  • NE: $35.09 (lab), effective Jul 1, 2026
  • OH: $26.32 (lab), effective Apr 1, 2021
  • OK: $31.21 (physician, non-facility), effective Jul 1, 2026
  • VA: $35.09 (medical), effective Jan 1, 2020
  • VT: $34.21 (outpatient_hospital_opps), effective Feb 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.