Notification



Notification Issue Date:



Policy Attachment


Attachment to Policy # 00.01.41b


Attachment:A

Policy #:00.01.41b

Description:

Title:STAT Laboratory Tests Performed in the Outpatient Hospital Setting for Health Maintenance Organization (HMO) and Point of Service (POS) Products


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.



STAT LABORATORY TESTS FOR HMO AND POS PRODUCTS


NOTES:
  • The Effective Date indicates the date that the code is eligible to be performed as a STAT laboratory test.
  • The Deletion Date indicates either the date that the code becomes invalid and/or can no longer be performed as STAT laboratory test.

STAT LABORATORY PROCEDURE CODES
Procedure Code
Effective
Date
Deletion
Date
80047
07/01/08
80048
07/01/08
80051
01/01/98
80053
07/01/08
80076
07/01/08
80156
07/01/95
80157
07/01/08
80185
07/01/95
80186
07/01/08
81000
07/01/95
81001
07/01/08
81002
07/01/95
81003
07/01/95
81005
07/01/95
81007
07/01/95
81015
07/01/08
82150
07/01/95
82247
07/01/95
82248
07/01/95
82310
07/01/95
82330
07/01/08
82565
07/01/95
82670
07/01/95
82800
07/01/08
82803
07/01/95
82805
07/01/08
82810
07/01/08
82947
07/01/95
83690
07/01/08
84132
07/01/95
84295
07/01/95
84484
01/01/98
84512
01/01/99
84520
07/01/95
84702
07/01/95
84703
07/01/08
84704
07/01/08
85004
07/01/08
85007
07/01/08
85014
07/01/08
85018
07/01/08
85025
07/01/95
85027
07/01/95
85032
07/01/08
85041
07/01/08
85044
07/01/08
85045
07/01/08
85046
07/01/08
85048
07/01/08
85049
07/01/08
85610
07/01/95
85651
07/01/95
85730
07/01/95
86880
07/01/95
86885
07/01/95
86886
07/01/95
86900
07/01/95
86901
07/01/95
87205
07/01/95
87206
07/01/08
87400
04/27/09
87804
04/27/09
89050
07/01/95
89051
07/01/08
89060
07/01/95
89300
07/01/95
89310
07/01/95
89320
07/01/95
89321
07/01/08
89322
07/01/08



Version Effective Date: 01/01/2015
Version Issued Date: 02/09/2015
Version Reissued Date:

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