G0475 Hiv combination assayHiv antigen/antibody, combination assay, screening
Status X: statutory exclusion, not paid under the PFS.
G0475 appears in 3 coverage policies from Aetna, BlueCross BlueShield of South Carolina, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | HIV Testing (0542) | covered if criteria are met | Aug 28, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Human Immunodeficiency Virus Testing (CAM 282) | listed, no stance | Apr 1, 2026 | payer document |
| Premera Blue Cross | Preventive Care HIV screening | covered if criteria are met | Sep 21, 2026 | payer document |
Prior authorization required or conditional in IN.
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.