What’s Changing?
Effective Jan.1, 2025 Blue Cross and Blue Shield of Texas is updating certain reimbursement policies with newly published American Medical Association procedure codes for certain laboratory, services, tests and procedures for some Administrative Services Only members.
The Details:
The following policies have been updated with code changes:
- CPCPLAB002 Cervical Cancer Screening
- CPCPLAB011 Biomarker Testing for Autoimmune Rheumatic Disease
- CPCPLAB018 Helicobacter Pylori Testing
- CPCPLAB027 Testing for Diagnosis of Active or Latent Tuberculosis
- CPCPLAB030 In Vitro Chemoresistance and Chemosensitivities Assays
- CPCPLAB036 Serum Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases
- CPCPLAB045 Pathogen Panel Testing
- CPCPLAB053 β-Hemolytic Streptococcus Testing
What do I need to do?
Review in detail the above updated policies – Laboratory Management Clinical Payment and Coding Policies.
Ordering providers should review the applicable Laboratory Management Clinical Payment and Coding policy when requesting lab services.