87428 CPT® code: payer coverage and prior authorization87428 appears in 7 coverage policies from Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, Cigna, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Anthem | Respiratory Virus Testing for SARS-CoV-2, Influenza and RSV in the Outpatient Setting (CG-LAB-39) Antigen-based tests | covered if criteria are met | Aug 13, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Antigen Testing For Rapid Detection Of Coronavirus Disease 2019 Covid19 (L.2.04.446) | listed, no stance | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Medicare Advantage Plans Laboratory Network Hospital Outpatient Allowable Test Listing EIA | listed, no stance | Nov 5, 2025 | payer document |
| Blue Cross NC | Pathogen Panel Testing AHS – G2149 | listed, no stance | Oct 1, 2025 | payer document |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 87003-87999) | Mar 1, 2024 | payer document |
| Cigna | COVID-19: In Vitro Diagnostic Testing (0557) | covered if criteria are met | May 15, 2026 | payer document |
| Regence | COVID-19 Testing (Laboratory 74) | listed, no stance | Jun 1, 2026 | payer document |
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.