88313 CPT® code: payer coverage and prior authorization88313 appears in 14 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Transthyretin-Mediated (ATTR) Amyloidosis (0939) | listed, no stance (range 88312-88319) | Aug 10, 2026 | payer document |
| Aetna | Tumor Chemoresistance Assays (0758) | not covered | Dec 2, 2025 | payer document |
| Aetna | Tumor Chemosensitivity Assays (0245) | not covered | Apr 13, 2026 | payer document |
| Aetna | Tumor Markers (0352) | listed, no stance | Aug 25, 2026 | payer document |
| Aetna | Tumor Markers (0352) | not covered | Aug 25, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Fecal Analysis In The Diagnosis Of Intestinal Dysbiosis | unproven / investigational | payer document | |
| Blue Cross & Blue Shield of Mississippi | Microscopic Evaluation Of Esophageal And Gastric Tissue (L.2.04.433) | listed, no stance | payer document | |
| Blue Cross & Blue Shield of Mississippi | Systems Pathology In Prostate Cancer (L.2.04.429) | unproven / investigational | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Medicare Advantage Plans Laboratory Network Hospital Outpatient Allowable Test Listing | listed, no stance | Nov 5, 2025 | payer document |
| Blue Cross NC | In Vitro Chemoresistance and Chemosensitivity Assays AHS- G2100 | listed, no stance | Nov 1, 2025 | payer document |
| Blue Cross NC | Nerve Fiber Density Testing AHS - M2112 | listed, no stance | Jan 1, 2026 | payer document |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 88300-88399) | Mar 1, 2024 | payer document |
| BlueCross BlueShield of South Carolina | Laboratory/Pathology Services (CAM 472) | listed, no stance | Jan 1, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Nerve Fiber Density Testing (CAM 319) | listed, no stance | Jan 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.