87634 CPT® code: payer coverage and prior authorization87634 appears in 7 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Influenza Rapid Diagnostic Tests (0476) | covered if criteria are met | Jul 24, 2026 | payer document |
| Aetna | Palivizumab (Synagis) (0318) | listed, no stance | Aug 21, 2026 | payer document |
| Aetna | Polymerase Chain Reaction Testing: Selected Indications (0650) | covered if criteria are met | Sep 10, 2026 | payer document |
| Blue Cross NC | Identification of Microorganisms using Nucleic Acid Probes AHS – M2097 | listed, no stance | Jul 1, 2025 | payer document |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 87003-87999) | Mar 1, 2024 | payer document |
| BlueCross BlueShield of South Carolina | Identification of Microorganisms Using Nucleic Acid Probes (CAM 303) 87594 | Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique | listed, no stance | Jul 1, 2026 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | 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.