Medicare Advantage Preferred Provider Organization (MA PPO)

Policy Attachment

Attachment to Policy #

MA00.021b

Attachment:

Policy #:

MA00.021b

Description:

STAT LABORATORY TESTS FOR HMO AND POS PRODUCTS

Title:

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

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:

01/01/2021

Version Issued Date:

01/04/2021

Version Reissued Date:

10/16/2024