Subject to the terms and conditions of the Evidence of Coverage, laboratory tests are covered under the medical benefits of the Company's Medicare Advantage products.
This claim payment rationale applies only to the services addressed in this policy and does not apply to any other codes. Claims are processed according to the statements in this policy. When a medical policy on this topic also exists, the medical necessity criteria listed in the medical policy must be met.
Company network and capitation rules will continue to apply to the services identified in this policy.
Inclusion of a code in this policy does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.