95017 CPT® code: payer coverage and prior authorization95017 appears in 7 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, Centene.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Allergy and Hypersensitivity (0038) | covered if criteria are met | Mar 10, 2026 | payer document |
| Aetna | Autism Spectrum Disorders (0648) | not covered | Oct 2, 2025 | payer document |
| Aetna | Omalizumab (0670) | listed, no stance (range 95004-95079) | Aug 21, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Allergy Testing (L.2.01.428) | listed, no stance | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Allergy Testing sad allergies. The immediate skin | calendar year. | covered if criteria are met | Mar 18, 2026 | payer document |
| Blue Cross NC | Allergy Skin and Challenge Testing | listed, no stance | Nov 1, 2025 | payer document |
| Centene | Allergy Testing and Therapy (CP.MP.100) | covered if criteria are met | Sep 1, 2023 | payer document |
| Centene | Allergy Testing and Therapy (CP.MP.100) Policy created; specialist reviewed | 01/16 | 02/16 | not covered | Sep 1, 2023 | payer document |
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.