87638 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 87638

Payer coverage policies that name 87638

87638 appears in 2 coverage policies from Blue Cross Blue Shield of Massachusetts, Blue Cross NC.

PayerPolicyRole in policyReviewedDocument
Blue Cross Blue Shield of MassachusettsIdentification of Microorganisms (555)listed, no stancepayer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 87003-87999)Mar 1, 2024payer document

Medicaid fee-for-service

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.