87652 CPT® code: payer coverage and prior authorization87652 appears in 9 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Pneumococcal Vaccines (0037) | not covered | Oct 6, 2026 | payer document |
| Aetna | Polymerase Chain Reaction Testing: Selected Indications (0650) | not covered | Sep 10, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Identification Of Microorganisms Using Nucleic Acid Probes | unproven / investigational | payer document | |
| Blue Cross Blue Shield of Massachusetts | Identification of Microorganisms (555) | unproven / investigational | payer document | |
| Blue Cross NC | Beta-Hemolytic Streptococcus Testing AHS – G2159 | listed, no stance | Oct 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 | β-Hemolytic Streptococcus Testing (CAM 211) 86581 (effective 01/01/2025) | Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative | listed, no stance | Oct 1, 2025 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
| Regence | Identification of Microorganisms Using Nucleic Acid Probes (Genetic Testing 85) | listed, no stance | Dec 1, 2025 | 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.