Payer policies › CPT 8716687166 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 87166 Payer coverage policies that name 87166 87166 appears in 3 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 87003-87999) Mar 1, 2024 payer document Blue Cross NC Testing for Vector-Borne Infections AHS – G2158 listed, no stance Oct 1, 2025 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $11.30 (lab), effective Oct 1, 2026 CO: $9.41 (lab_cdl), effective Jul 1, 2026 FL: $7.54 (lab_independent, non-facility), effective Jan 1, 2026 IL: $11.30 (practitioner), effective Apr 1, 2024 IN: $9.61 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020 KS: $6.30 (default, Exempt Physician), effective Jul 1, 1987 KY: $11.30 (lab), effective Jan 1, 2026 LA: $9.61 (lab_radiology), effective Jul 1, 2025 MS: $10.17 (comprehensive), effective Jul 1, 2026 ND: $11.30 (physician), effective Aug 1, 2026 NE: $11.30 (lab), effective Jul 1, 2026 NY: $8.08 (lab), effective Aug 1, 2026 OH: $8.47 (lab), effective Apr 1, 2021 OK: $10.05 (physician, non-facility), effective Jul 1, 2026 VA: $1.00 (medical), effective Jul 1, 2014 VT: $11.02 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $9.04 (physician, facility), 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.