88366 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 88366

Payer coverage policies that name 88366

88366 appears in 7 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaBarrett's Esophagus (0728)not coveredNov 25, 2025payer document
AetnaCervical Cancer Screening and Diagnosis (0443)not covered (range 88364-88366)Jul 22, 2026payer document
AetnaTumor Markers (0352)covered if criteria are met (range 88364-88366)Aug 25, 2026payer document
Blue Cross & Blue Shield of MississippiCervical Cancer Screening Technologies With Pap And Hpv (L.2.04.421)unproven / investigationalpayer document
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

Prior authorization required or conditional in WA.

  • AZ: $108.14 (outpatient_hospital), effective Oct 1, 2025
  • CO: $72.68 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $94.96 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $173.30 (practitioner), effective Apr 1, 2024
  • IN: $47.80 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $127.78 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $112.81 (lab), effective Jan 1, 2026
  • LA: $207.45 (lab_radiology), effective Jul 1, 2025
  • MA: $219.45 (physician_surgery), effective May 1, 2024
  • MS: $129.38 (comprehensive), effective Jul 1, 2026
  • ND: $64.58 (physician), effective Aug 1, 2026
  • NY: $179.38 (lab), effective Aug 1, 2026
  • OH: $44.91 (lab), effective Apr 1, 2026
  • OK: $225.65 (physician, non-facility), effective Jul 1, 2026
  • TX: $225.66 (laboratory_independent, Laboratory Independent, non-facility), effective Sep 1, 2025
  • VA: $50.06 (medical), effective Jul 1, 2026
  • VT: $132.29 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $130.90 (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.