88371 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 88371

Payer coverage policies that name 88371

88371 appears in 6 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaCervical Cancer Screening and Diagnosis (0443)not covered (range 88367-88377)Jul 22, 2026payer document
AetnaTrastuzumab Products (0313)listed, no stance (range 88367-88377)Jun 8, 2026payer document
AetnaTumor Markers (0352)listed, no stance (range 88367-88377)Aug 25, 2026payer 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

  • AZ: $22.23 (lab), effective Oct 1, 2026
  • CO: $13.57 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $14.11 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $28.45 (practitioner), effective Jul 1, 2026
  • IN: $14.87 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $14.17 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $22.23 (lab), effective Jan 1, 2026
  • LA: $22.11 (lab_radiology), effective Jul 1, 2012
  • MA: $14.08 (physician_surgery), effective May 1, 2024
  • MS: $20.01 (comprehensive), effective Jul 1, 2026
  • ND: $19.90 (physician), effective Aug 1, 2026
  • NE: $22.23 (lab), effective Jul 1, 2026
  • OH: $14.93 (lab), effective Jan 1, 2021
  • OK: $16.25 (physician, non-facility), effective Jul 1, 2026
  • VA: $10.98 (medical), effective Jul 1, 2014
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $17.78 (physician, facility), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.