87632 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 87632

Payer coverage policies that name 87632

87632 appears in 21 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Centene, Cigna, Premera Blue Cross, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaHelicobacter Pylori Infection Testing (0177)not coveredMar 20, 2026payer document
AetnaPolymerase Chain Reaction Testing: Selected Indications (0650)covered if criteria are metSep 10, 2026payer document
AnthemRespiratory Viral Panel Testing in the Outpatient Setting (CG-LAB-14)not coveredNov 6, 2025payer document
Blue Cross & Blue Shield of MississippiPathogen Panel Testing (L.2.04.456)not coveredpayer document
Blue Cross NCPathogen Panel Testing AHS – G2149listed, no stanceOct 1, 2025payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 87003-87999)Mar 1, 2024payer document
Blue Shield of CaliforniaIdentification of Microorganisms Using Nucleic Acid Probes (2.04.10)listed, no stancepayer document
BlueCross BlueShield of South CarolinaPathogen Panel Testing (CAM 181)listed, no stanceJul 1, 2026payer document
CentenePolymerase Chain Reaction Respiratory Viral Panel Testing Reference Number: CP.MP.181 (CP.MP.181)
Codes®
covered if criteria are metMar 1, 2024payer document
CignaNucleic Acid Pathogen Testing (0530)covered if criteria are metAug 15, 2026payer document
Premera Blue CrossPathogen Panel Testinglisted, no stanceJun 17, 2026payer document
UnitedHealthcareRespiratory Pathogen Nucleic Acid Detection Testing (2026T0661E)listed, no stanceApr 1, 2026payer document
UnitedHealthcareRespiratory Pathogen Nucleic Acid Detection Testing (CS379.B)listed, no stanceMay 1, 2026payer document
UnitedHealthcareRespiratory Pathogen Nucleic Acid Detection Testing (for Idaho Only) (CS379ID.B)listed, no stanceJul 1, 2026payer document
UnitedHealthcareRespiratory Pathogen Nucleic Acid Detection Testing (for Kansas Only) (CS379KS.02)listed, no stanceMay 1, 2026payer document
UnitedHealthcareRespiratory Pathogen Nucleic Acid Detection Testing (for Kentucky Only) (CS379KY.02)listed, no stanceMay 1, 2026payer document
UnitedHealthcareRespiratory Pathogen Nucleic Acid Detection Testing (for Nebraska Only) (CS379NE.B)listed, no stanceMay 1, 2026payer document
UnitedHealthcareRespiratory Pathogen Nucleic Acid Detection Testing (for New Jersey Only) (CS379NJ.B)listed, no stanceJun 1, 2026payer document
UnitedHealthcareRespiratory Pathogen Nucleic Acid Detection Testing (for New Mexico Only) (CS379NM.B)listed, no stanceMay 1, 2026payer document
UnitedHealthcareRespiratory Pathogen Nucleic Acid Detection Testing (for Pennsylvania Only) (CS379PA.B)listed, no stanceMay 1, 2026payer document
UnitedHealthcareRespiratory Pathogen Nucleic Acid Detection Testing (for Tennessee Only) (CS379TN.B)listed, no stanceMay 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in LA, MS.

  • AZ: $218.06 (lab), effective Oct 1, 2026
  • FL: $117.76 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $176.02 (practitioner), effective Jan 1, 2013
  • IN: $185.35 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020
  • KS: $143.02 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $218.06 (lab), effective Jan 1, 2026
  • LA: $185.35 (lab_radiology), effective Jul 1, 2025
  • MS: $196.25 (comprehensive), effective Jan 1, 2026
  • ND: $218.06 (physician), effective Aug 1, 2026
  • NE: $218.06 (lab), effective Jul 1, 2026
  • OH: $163.54 (lab), effective Apr 1, 2021
  • VA: $218.06 (medical), effective Jan 1, 2020
  • VT: $212.61 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $174.45 (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.