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 |