Payer policies › CPT 8832188321 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 88321 Payer coverage policies that name 88321 88321 appears in 2 coverage policies from Blue Cross NC, Cigna.
Payer Policy Role in policy Reviewed Document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 88300-88399) Mar 1, 2024 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $15.34 (outpatient_hospital, RF133), effective Oct 1, 2025 CO: $67.63 (chp_plus, non-facility), effective Jul 1, 2026 FL: $66.18 (lab_independent, non-facility), effective Jan 1, 2026 IL: $55.15 (practitioner), effective Apr 1, 2024 IN: $64.76 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $57.38 (default, Exempt Physician), effective Jul 1, 2023 KY: $53.13 (lab), effective Jan 1, 2026 LA: $77.76 (lab_radiology), effective Jul 1, 2025 MA: $61.33 (physician_surgery, facility), effective May 1, 2024 MS: $58.67 (comprehensive), effective Jul 1, 2026 ND: $104.01 (physician), effective Aug 1, 2026 NE: $87.99 (physician, facility), effective Jul 1, 2026 OH: $49.83 (lab, facility), effective Apr 1, 2026 OK: $61.48 (physician, facility), effective Jul 1, 2026 VA: $11.05 (medical, facility), effective Jul 1, 2005 VT: $29.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $56.37 (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.