All PlansCoverageMedium impact
New! COVID-19 Test Billing Guidance
Blue Cross Blue Shield of Wyoming·WY·Prior Authorization
We identified it
Jun 19, 2026
Summary
Updated COVID-19 testing billing guidance confirms that diagnostic COVID-19 tests are covered without cost-sharing or prior authorization requirements under federal law. Antibody testing is only covered when medically appropriate for diagnostic purposes, not for return-to-work or surveillance screening.
Action Required
Immediately: Billing team must verify that COVID-19 diagnostic test claims use the appropriate codes from the provided table and ensure no cost-sharing or prior authorization is being applied. For antibody testing codes (86328, 86408, 86409, 86769, 0224U), verify medical necessity documentation exists for diagnostic purposes only - do not bill for return-to-work or surveillance testing as these will not be covered.