88329 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 88329

Payer coverage policies that name 88329

88329 appears in 2 coverage policies from Blue Cross NC, Cigna.

PayerPolicyRole in policyReviewedDocument
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 88300-88399)Mar 1, 2024payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document

Medicaid fee-for-service

  • AZ: $20.23 (outpatient_hospital, RF133), effective Oct 1, 2025
  • CO: $47.52 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $36.74 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $33.30 (practitioner), effective Apr 1, 2024
  • IN: $27.06 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $33.61 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $29.85 (lab), effective Jan 1, 2026
  • LA: $43.50 (lab_radiology), effective Jul 1, 2025
  • MA: $26.04 (physician_surgery, facility), effective May 1, 2024
  • MS: $24.31 (comprehensive), effective Jul 1, 2026
  • ND: $57.83 (physician), effective Aug 1, 2026
  • NE: $36.88 (physician, facility), effective Jul 1, 2026
  • OH: $20.72 (lab, facility), effective Apr 1, 2026
  • OK: $25.49 (physician, facility), effective Jul 1, 2026
  • VA: $24.31 (medical, facility), effective Jul 1, 2026
  • VT: $45.81 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $31.72 (kidneycenters), effective Jul 1, 2026
  • WY: $26.09 (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.