88108 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 88108

Payer coverage policies that name 88108

88108 appears in 12 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaBreast Ductal Lavage and Fiberoptic Ductoscopy (0517)listed, no stanceAug 5, 2026payer document
AetnaEladocagene Exuparvovec-tneq (Kebilidi) (1073)listed, no stanceMar 27, 2026payer document
AetnaEndometrial Cancer Screening, Diagnosis, and Prognosis (0769)listed, no stance (range 88104-88112)Oct 3, 2025payer document
Blue Cross NCEpithelial Cell Cytology in Breast Cancer Risk Assessment AHS - G2059listed, no stanceApr 1, 2026payer document
Blue Cross NCPancreatic Cancer Risk Testing Using Pancreatic Cyst Fluid AHS - M2114listed, no stanceJan 1, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 88104-88199)Mar 1, 2024payer document
BlueCross BlueShield of South CarolinaEpithelial Cell Cytology in Breast Cancer Risk Assessment (CAM 321)listed, no stanceApr 1, 2026payer document
BlueCross BlueShield of South CarolinaLaboratory/Pathology Services (CAM 472)listed, no stanceJan 1, 2026payer document
BlueCross BlueShield of South CarolinaPancreatic Cancer Risk Testing Using Pancreatic Cyst Fluid (CAM 293)listed, no stanceJan 1, 2026payer document
CignaInfertility Services (0089)unproven / investigationalJun 15, 2025payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
Premera Blue CrossEpithelial Cell Cytology in Breast Cancer Risk Assessmentlisted, no stanceOct 14, 2025payer document

Medicaid fee-for-service

  • AZ: $24.53 (outpatient_hospital), effective Oct 1, 2021
  • CO: $22.36 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $48.52 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $44.16 (practitioner), effective Apr 1, 2024
  • IN: $36.63 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $40.21 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $11.08 (lab), effective Jan 1, 2026
  • LA: $21.15 (lab_radiology), effective Jul 1, 2025
  • MA: $16.33 (physician_surgery), effective May 1, 2024
  • MS: $36.72 (comprehensive), effective Jul 1, 2026
  • ND: $76.98 (physician), effective Aug 1, 2026
  • NE: $77.09 (physician, non-facility), effective Jul 1, 2026
  • NY: $19.31 (lab), effective Aug 1, 2026
  • OH: $34.22 (lab), effective Apr 1, 2025
  • OK: $58.90 (physician, non-facility), effective Jul 1, 2026
  • TX: $17.37 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), facility), effective Sep 1, 2021
  • VA: $59.61 (medical), effective Jul 1, 2026
  • VT: $29.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $42.62 (kidneycenters), effective Jul 1, 2026
  • WY: $16.52 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.