EmblemHealth and ConnectiCare are adding one new Lab Benefit Management (LBM) Reimbursement Policy: Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases (LBM).
The following reimbursement policies have been updated. If the policy name does not have a company name shown, the policy applies to both EmblemHealth and ConnectiCare. See their revision histories for effective dates and applicable changes:
- Ambulatory Surgical Groupers.
- Beta-Hemolytic Streptococcus Testing (LBM).
- Biochemical Markers of Alzheimer Disease and Dementia (LBM).
- Bone Turnover Markers Testing (LBM).
- Bundled Services.
- Celiac Disease Testing (LBM).
- Cervical Cancer Screening (LBM).
- Diabetes Mellitus Testing (LBM).
- Diagnosis of Vaginitis (LBM).
- Diagnostic Testing of Common Sexually Transmitted Infections (LBM).
- Diagnostic Testing of Influenza (LBM).
- DME Rental vs. Purchase.
- Epithelial Cell Cytology in Breast Cancer Risk Assessment (LBM).
- Evaluation and Management (E&M) Services.
- Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Fecal Microbiota Transplant Testing (LBM).
- Fecal Calprotectin Testing in Adults No CPT code changes (LBM).
- Gamma-glutamyl Transferase Testing in Adults (LBM).
- Human Immunodeficiency Virus (HIV) (LBM).
- Immunopharmacologic Monitoring of Therapeutic Serum Antibodies (LBM).
- In Vitro Chemoresistance and Chemosensitivity Assays (LBM).
- Laboratory Testing for the Diagnosis of Inflammatory Bowel Disease (LBM).
- Laboratory/Venipuncture.
- Metabolite Markers of Thiopurines Testing (LBM).
- Oral Cancer Screening and Testing (LBM).
- Pathogen Panel Testing (LBM).
- Prenatal Screening (Nongenetic) (LBM).
- Preventive Care Services (Commercial).
- Preventive Care Services (Medicare).
- Prostate Biopsy Specimen Analysis (LBM).
- Radiopharmaceuticals and Contrast Media.
- Serum Testing for Hepatic Fibrosis in the Evaluation and Monitoring of Chronic Liver Disease (LBM).
- Testing for Alpha-1 Antitrypsin Deficiency (LBM).
- Testing for Diagnosis of Active or Latent Tuberculosis (LBM).
- Testing for Vector-Borne Infections (LBM).
- Urine Culture Testing for Bacteria (LBM).