Payer policies › CPT 8728587285 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 87285 Payer coverage policies that name 87285 87285 appears in 4 coverage policies from Aetna, Blue Cross NC, Cigna.
Payer Policy Role in policy Reviewed Document Aetna Infectious Diseases: Selected Tests (1008) covered if criteria are met Jan 14, 2026 payer document Blue Cross NC Diagnostic Testing of Sexually Transmitted Infections AHS – G2157 listed, no stance Apr 1, 2026 payer document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 87003-87999) Mar 1, 2024 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $12.18 (lab), effective Oct 1, 2026 CO: $12.18 (lab_cdl), effective Oct 1, 2025 FL: $7.54 (lab_independent, non-facility), effective Jan 1, 2026 IL: $12.18 (practitioner), effective Apr 1, 2024 IN: $10.35 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020 KS: $11.81 (default, Exempt Physician), effective Jan 1, 1998 KY: $12.18 (lab), effective Jan 1, 2026 LA: $12.18 (lab_radiology), effective Jan 1, 2020 MS: $10.96 (comprehensive), effective Jul 1, 2026 ND: $12.18 (physician), effective Aug 1, 2026 NE: $12.18 (lab), effective Jul 1, 2026 OH: $9.13 (lab), effective Apr 1, 2021 OK: $10.83 (physician, non-facility), effective Jul 1, 2026 VA: $12.18 (medical), effective Jan 1, 2020 VT: $11.88 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $9.74 (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.