87494 CPT® code: payer coverage and prior authorization87494 appears in 11 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Blue Shield of California, Cigna, Premera Blue Cross, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Polymerase Chain Reaction Testing: Selected Indications (0650) | covered if criteria are met | Sep 10, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Identification Of Microorganisms Using Nucleic Acid Probes | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Sexually Transmitted Infections Testing — Professional | listed, no stance | payer document | |
| Blue Cross Blue Shield of Massachusetts | Identification of Microorganisms (555) | listed, no stance | payer document | |
| Blue Cross NC | Diagnostic Testing of Sexually Transmitted Infections AHS – G2157 | listed, no stance | Apr 1, 2026 | payer document |
| Blue Cross NC | Prenatal Screening (Nongenetic) AHS - G2035 | 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 |
| Blue Shield of California | Identification of Microorganisms Using Nucleic Acid Probes (2.04.10) | listed, no stance | payer document | |
| Cigna | Nucleic Acid Pathogen Testing (0530) | covered if criteria are met | Aug 15, 2026 | payer document |
| Premera Blue Cross | Preventive Care Chlamydia Screening | covered if criteria are met | Sep 21, 2026 | payer document |
| UnitedHealthcare | Preventive Care Services (MP.016.59) Gonorrhea Screening | Procedure Code(s): | Requires either a Pregnancy Diagnosis | listed, no stance | Jul 1, 2026 | payer document |
Prior authorization required or conditional in IN.
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.