Payer policies › CPT 8835588355 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 88355 Payer coverage policies that name 88355 88355 appears in 3 coverage policies from Blue Cross NC, BlueCross BlueShield of South Carolina, 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 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: $155.39 (chp_plus, non-facility), effective Jul 1, 2026 FL: $96.45 (lab_independent, non-facility), effective Jan 1, 2026 IL: $108.60 (practitioner), effective Jul 1, 2026 IN: $64.69 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $114.11 (default, Exempt Physician), effective Dec 18, 2009 KY: $144.26 (lab), effective Jan 1, 2026 MA: $107.77 (physician_surgery), effective May 1, 2024 MS: $129.38 (comprehensive), effective Jul 1, 2026 ND: $156.96 (physician), effective Aug 1, 2026 NE: $183.94 (physician, non-facility), effective Jul 1, 2026 OH: $60.06 (lab), effective Apr 1, 2025 OK: $71.62 (physician, non-facility), effective Jul 1, 2026 TX: $59.02 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), facility), effective Sep 1, 2025 VA: $53.53 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $85.61 (physician, facility), 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.