88333 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 88333

Payer coverage policies that name 88333

88333 appears in 3 coverage policies from Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.

PayerPolicyRole in policyReviewedDocument
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 88300-88399)Mar 1, 2024payer 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: $475.71 (outpatient_hospital), effective Oct 1, 2021
  • CO: $27.25 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $62.18 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $60.02 (practitioner), effective Apr 1, 2024
  • IN: $47.71 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $18.38 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $65.23 (lab), effective Jan 1, 2026
  • LA: $72.43 (lab_radiology), effective Jul 1, 2025
  • MA: $70.96 (physician_surgery), effective May 1, 2024
  • MS: $611.84 (comprehensive), effective Jul 1, 2026
  • ND: $98.38 (physician), effective Aug 1, 2026
  • NE: $98.14 (physician, non-facility), effective Jul 1, 2026
  • OH: $66.69 (lab), effective Apr 1, 2025
  • OK: $25.66 (physician, non-facility), effective Jul 1, 2026
  • VA: $76.39 (medical), effective Jul 1, 2026
  • VT: $625.58 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $19.30 (kidneycenters), effective Jul 1, 2026
  • WY: $356.30 (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.