87552 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 87552

Payer coverage policies that name 87552

87552 appears in 6 coverage policies from Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Regence.

PayerPolicyRole in policyReviewedDocument
Blue Cross & Blue Shield of MississippiIdentification Of Microorganisms Using Nucleic Acid Probesunproven / investigationalpayer document
Blue Cross Blue Shield of MassachusettsIdentification of Microorganisms (555)unproven / investigationalpayer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 87003-87999)Mar 1, 2024payer document
BlueCross BlueShield of South CarolinaTesting for Diagnosis of Active or Latent Tuberculosis (CAM 336)listed, no stanceOct 1, 2025payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
RegenceIdentification of Microorganisms Using Nucleic Acid Probes (Genetic Testing 85)listed, no stanceDec 1, 2025payer document

Medicaid fee-for-service

  • AZ: $42.84 (lab), effective Oct 1, 2026
  • CO: $35.69 (lab_cdl), effective Jul 1, 2026
  • FL: $29.53 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $36.82 (practitioner), effective Jan 1, 2010
  • IN: $36.41 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $27.31 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $42.84 (lab), effective Jan 1, 2026
  • LA: $42.84 (lab_radiology), effective Jan 1, 2020
  • MS: $38.56 (comprehensive), effective Jul 1, 2026
  • ND: $42.84 (physician), effective Aug 1, 2026
  • NE: $42.84 (lab), effective Jul 1, 2026
  • OH: $32.13 (lab), effective Apr 1, 2021
  • VA: $32.79 (medical), effective Jul 1, 2014
  • VT: $41.77 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $34.27 (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.