Payer policies › CPT 8833188331 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 88331 Payer coverage policies that name 88331 88331 appears in 5 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.
Payer Policy Role in policy Reviewed Document Aetna Mohs Micrographic Surgery (0383) covered if criteria are met May 28, 2026 payer document Aetna Total Ankle Arthroplasty (0645) not covered (range 88331-88332) Sep 14, 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 Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $108.14 (outpatient_hospital), effective Oct 1, 2021 CO: $34.93 (chp_plus, non-facility), effective Jul 1, 2026 FL: $68.54 (lab_independent, non-facility), effective Jan 1, 2026 IL: $64.28 (practitioner), effective Apr 1, 2024 IN: $47.94 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $23.24 (default, Exempt Physician), effective Jul 1, 2023 KY: $45.83 (lab), effective Jan 1, 2026 LA: $31.85 (lab_radiology), effective Jul 1, 2025 MA: $45.34 (physician_surgery), effective May 1, 2024 MS: $80.06 (comprehensive), effective Jul 1, 2026 ND: $108.52 (physician), effective Aug 1, 2026 NE: $66.40 (physician, non-facility), effective Jul 1, 2026 OH: $73.50 (lab), effective Apr 1, 2025 OK: $52.12 (physician, non-facility), effective Jul 1, 2026 TX: $46.48 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), facility), effective Sep 1, 2023 VA: $34.14 (medical), effective Jul 1, 2026 VT: $132.29 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $34.59 (kidneycenters), effective Jul 1, 2026 WY: $75.35 (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.