88314 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 88314

Payer coverage policies that name 88314

88314 appears in 6 coverage policies from Aetna, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaNerve Fiber Density Measurement (0774)listed, no stanceDec 11, 2025payer document
AetnaTransthyretin-Mediated (ATTR) Amyloidosis (0939)listed, no stance (range 88312-88319)Aug 10, 2026payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 88300-88399)Mar 1, 2024payer document
Blue Shield of California| Nerve Fiber Density Measurement (2.04.58)listed, no stancepayer document
BlueCross BlueShield of South CarolinaLaboratory/Pathology Services (CAM 472)listed, no stanceJan 1, 2026payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $22.59 (outpatient_hospital), effective Oct 1, 2013
  • CO: $16.45 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $57.70 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $55.30 (practitioner), effective Apr 1, 2024
  • IN: $65.76 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $44.44 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $19.65 (lab), effective Jan 1, 2026
  • LA: $27.16 (lab_radiology), effective Jul 1, 2025
  • MA: $14.97 (physician_surgery), effective May 1, 2024
  • MS: $16.30 (comprehensive), effective Jul 1, 2026
  • ND: $20.65 (physician), effective Aug 1, 2026
  • NE: $37.54 (physician, non-facility), effective Jul 1, 2026
  • OH: $14.54 (lab), effective Apr 1, 2025
  • OK: $17.08 (physician, non-facility), effective Jul 1, 2026
  • TX: $14.26 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), facility), effective Sep 1, 2025
  • VA: $16.20 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $11.08 (kidneycenters), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.