87503 CPT® code: payer coverage and prior authorization87503 appears in 9 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Cigna, Regence.
| 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 Massachusetts | Identification of Microorganisms (555) | listed, no stance | payer document | |
| Blue Cross NC | Diagnostic Testing of Influenza AHS - G2119 | 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 | |
| BlueCross BlueShield of South Carolina | Diagnostic Testing of Influenza (CAM 134) | listed, no stance | Oct 1, 2025 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
| Regence | Identification of Microorganisms Using Nucleic Acid Probes (Genetic Testing 85) | listed, no stance | Dec 1, 2025 | 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.