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Genetic Testing and Counseling - HIPAA Code Conversions

Payment Reduction Reversed for Select Genetic Disease Lab Panels

The 5 percent payment reduction that was applied to the following genetic disease tests for dates of service on January 01, 2006 through March 03, 2006 is being reversed.

HCPCS Code Description
Z2500 Newborn screening panel for phenylketonuria (PKU), galactosemia, primary congenital hypothyroidism or hemoglobinopathies
Z2502 Alpha Fetal Protein (AFP) screening panel
Z2503 Expanded Alpha-Fetal Protein (X-AFP) screening panel

Providers need take no action. Claims for these codes for the affected dates of service will be reprocessed for correct payment.

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