Lab Benefit Management Program - Clinical Payment and Coding Policies

Refer to the Clinical Payment and Coding Policies page for general information and disclaimers about these policies.

Policy Name	CPCP Number	Posted	Effective Date	Archived Documents
Allergen Testing	CPCPLAB013	02/01/2022	05/01/2022	N/A
ANA/ENA Testing	CPCPLAB011	02/01/2022	05/01/2022	N/A
β-Hemolytic Streptococcus Testing	CPCPLAB053	02/01/2022	05/01/2022	N/A
Cardiac Biomarkers for Myocardial Infarction	CPCPLAB046	02/01/2022	05/01/2022	N/A
Cardiovascular Disease Risk Assessment	CPCPLAB020	02/01/2022	05/01/2022	N/A
Celiac Disease Testing	CPCPLAB017	02/01/2022	05/01/2022	N/A
Cervical Cancer Screening	CPCPLAB002	02/01/2022	05/01/2022	N/A
Coronavirus Testing in the Outpatient Setting	CPCPLAB057	02/01/2022	05/01/2022	N/A
Diagnosis of Idiopathic Environmental Intolerance	CPCPLAB023	02/01/2022	05/01/2022	N/A
Diagnosis of Vaginitis including Multi-target PCR Testing	CPCPLAB059	02/01/2022	05/01/2022	N/A
Diagnostic Testing of Common Sexually Transmitted Infections	CPCPLAB051	02/01/2022	05/01/2022	N/A
Diagnostic Testing of Influenza	CPCPLAB033	02/01/2022	05/01/2022	N/A
Diagnostic Testing of Iron Homeostasis & Metabolism	CPCPLAB008	02/01/2022	05/01/2022	N/A
DNA Ploidy Cell Cycle Analysis	CPCPLAB066	02/01/2022	05/01/2022	N/A
Epithelial Cell Cytology in Breast Cancer Risk Assessment	CPCPLAB024	02/01/2022	05/01/2022	N/A
Erectile Dysfunction	CPCPLAB041	02/01/2022	05/01/2022	N/A
Evaluation of Dry Eyes	CPCPLAB043	02/01/2022	05/01/2022	N/A
Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Fecal Microbiota Transplant Testing	CPCPLAB025	02/01/2022	05/01/2022	N/A
Fecal Calprotectin Testing in Adults	CPCPLAB026	02/01/2022	05/01/2022	N/A
Flow Cytometry	CPCPLAB001	02/01/2022	05/01/2022	N/A
Folate Testing	CPCPLAB048	02/01/2022	05/01/2022	N/A
Gamma-glutamyl Transferase	CPCPLAB056	02/01/2022	05/01/2022	N/A
General Inflammation Testing	CPCPLAB049	02/01/2022	05/01/2022	N/A
Genetic Testing for Adolescent Idiopathic Scoliosis	CPCPLAB060	02/01/2022	05/01/2022	N/A
Helicobacter Pylori Testing	CPCPLAB018	02/01/2022	05/01/2022	N/A
Hemoglobin A1c	CPCPLAB004	02/01/2022	05/01/2022	N/A
Hepatitis C	CPCPLAB015	02/01/2022	05/01/2022	N/A
Identification of Microorganisms Using Nucleic Acid Probes	CPCPLAB063	02/01/2022	05/01/2022	N/A
Immune Cell Function Assay	CPCPLAB028	02/01/2022	05/01/2022	N/A
Immunohistochemistry	CPCPLAB069	02/01/2022	05/01/2022	N/A
In Vitro Chemoresistance and Chemosensitivities Assays	CPCPLAB030	02/01/2022	05/01/2022	N/A
Intracellular Micronutrient Analysis	CPCPLAB029	02/01/2022	05/01/2022	N/A
Laboratory Testing for the Diagnosis of Inflammatory Bowel Disease	CPCPLAB035	02/01/2022	05/01/2022	N/A
Lyme Disease	CPCPLAB044	02/01/2022	05/01/2022	N/A
Measurement of Thromboxane Metabolites for ASA Resistance	CPCPLAB031	02/01/2022	05/01/2022	N/A
Nerve Fiber Density Testing	CPCPLAB064	02/01/2022	05/01/2022	N/A
Onychomycosis Testing	CPCPLAB068	02/01/2022	05/01/2022	N/A
Oral Screening Lesion Identification Systems and Genetic Screening	CPCPLAB032	02/01/2022	05/01/2022	N/A
Pancreatic Enzyme Testing for Acute Pancreatitis	CPCPLAB047	02/01/2022	05/01/2022	N/A
Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing	CPCPLAB055	02/01/2022	05/01/2022	N/A
Pathogen Panel Testing	CPCPLAB045	02/01/2022	05/01/2022	N/A
Pediatric Preventive Screening	CPCPLAB016	02/01/2022	05/01/2022	N/A
Plasma HIV-1 and HIV-2 RNA Quantification for HIV Infection	CPCPLAB065	02/01/2022	05/01/2022	N/A
Prenatal Screening	CPCPLAB014	02/01/2022	05/01/2022	N/A
Prenatal Screening for Fetal Aneuploidy	CPCPLAB022	02/01/2022	05/01/2022	N/A
Pre-Operative Testing	CPCPLAB012	02/01/2022	05/01/2022	N/A
Prescription Medication and Illicit Drug Testing in the Outpatient Setting	CPCPLAB070	02/01/2022	05/01/2022	N/A
Preventive Screening in Adults	CPCPLAB007	02/01/2022	05/01/2022	N/A
Prostate Biopsies	CPCPLAB005	02/01/2022	05/01/2022	N/A
Prostate Specific Antigen Testing	CPCPLAB006	02/01/2022	05/01/2022	N/A
Salivary Hormone Testing	CPCPLAB034	02/01/2022	05/01/2022	N/A
Serum Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases	CPCPLAB036	02/01/2022	05/01/2022	N/A
Serum Tumor Markers for Malignancies	CPCPLAB037	02/01/2022	05/01/2022	N/A
ST2 Assay for Chronic Heart Failure	CPCPLAB040	02/01/2022	05/01/2022	N/A
Testing for Alpha-1 Antitrypsin Deficiency	CPCPLAB061	02/01/2022	05/01/2022	N/A
Testing for Diagnosis of Active or Latent Tuberculosis	CPCPLAB027	02/01/2022	05/01/2022	N/A
Testing for Mosquito or Tick-Related Infections	CPCPLAB052	02/01/2022	05/01/2022	N/A
Testing of Homocysteine Metabolism-Related Conditions	CPCPLAB067	02/01/2022	05/01/2022	N/A
Testosterone Testing	CPCPLAB009	02/01/2022	05/01/2022	N/A
Thyroid Disease Testing	CPCPLAB019	02/01/2022	05/01/2022	N/A
Urinary Tumor Markers for Bladder Cancer	CPCPLAB038	02/01/2022	05/01/2022	N/A
Urine Culture Testing for Bacteria	CPCPLAB050	02/01/2022	05/01/2022	N/A
Vectra DA Blood Test for Rheumatoid Arthritis	CPCPLAB039	02/01/2022	05/01/2022	N/A
Venous and Arterial Thrombosis Risk Testing	CPCPLAB058	02/01/2022	05/01/2022	N/A
Vitamin B12 and Methylmalonic Acid Testing	CPCPLAB010	02/01/2022	05/01/2022	N/A
Vitamin D	CPCPLAB003	02/01/2022	05/01/2022	N/A
ZIKA Virus Risk Assessment	CPCPLAB042	02/01/2022	05/01/2022	N/A