87591 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 87591

Payer coverage policies that name 87591

87591 appears in 13 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, BlueCross BlueShield of South Carolina, Cigna, Premera Blue Cross, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaDiagnosis of Vaginitis (0643)covered if criteria are metSep 25, 2026payer document
AetnaPolymerase Chain Reaction Testing: Selected Indications (0650)covered if criteria are metSep 10, 2026payer document
Blue Cross & Blue Shield of MississippiIdentification Of Microorganisms Using Nucleic Acid Probescovered if criteria are metpayer document
Blue Cross & Blue Shield of MississippiPathogen Panel Testing (L.2.04.456)not coveredpayer document
Blue Cross & Blue Shield of Rhode IslandSexually Transmitted Infections Testing — Professionallisted, no stancepayer document
Blue Cross Blue Shield of MassachusettsIdentification of Microorganisms (555)listed, no stancepayer document
Blue Cross NCDiagnostic Testing of Sexually Transmitted Infections AHS – G2157listed, no stanceApr 1, 2026payer document
Blue Cross NCPrenatal Screening (Nongenetic) AHS - G2035listed, no stanceOct 1, 2025payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 87003-87999)Mar 1, 2024payer document
BlueCross BlueShield of South CarolinaDiagnostic Testing of Most Common Sexually Transmitted Infections (CAM 209)
87563 | Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique
listed, no stanceApr 1, 2026payer document
CignaNucleic Acid Pathogen Testing (0530)covered if criteria are metAug 15, 2026payer document
Premera Blue CrossPreventive Carecovered if criteria are metSep 21, 2026payer document
UnitedHealthcarePreventive Care Services (MP.016.59)
Gonorrhea Screening | Procedure Code(s): | Requires either a Pregnancy Diagnosis
listed, no stanceJul 1, 2026payer document

Medicaid fee-for-service

  • AZ: $35.09 (lab), effective Oct 1, 2026
  • CO: $29.23 (lab_cdl), effective Jul 1, 2026
  • FL: $18.94 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $35.09 (practitioner), effective Apr 1, 2024
  • IN: $29.83 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $26.32 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $35.09 (lab), effective Jan 1, 2026
  • LA: $35.09 (lab_radiology), effective Jan 1, 2020
  • MS: $31.58 (comprehensive), effective Jul 1, 2026
  • ND: $35.09 (physician), effective Aug 1, 2026
  • NE: $35.09 (lab), effective Jul 1, 2026
  • NY: $21.64 (lab), effective Aug 1, 2026
  • OH: $26.32 (lab), effective Apr 1, 2021
  • OK: $31.21 (physician, non-facility), effective Jul 1, 2026
  • TX: $32.63 (hhsc_family_planning_program, Hhsc Family Planning Program), effective Mar 1, 2021
  • VA: $20.15 (medical), effective Jan 1, 2016
  • VT: $34.21 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $28.07 (family_planning, 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.