Billing Beat

Anthem – New Policies 12/1/2022

September 1, 2022
*GENE.00059 Hybrid Personalized Molecular Residual Disease Testing for Cancer Oncologic hybrid personalized molecular residual disease (MRD) tests are considered INV & NMN for all indications No specific code currently for this test, considered INV & NMN; listed 81479 NOC 12/1/2022
* LAB.00048 Pain Management Biomarker Analysis The functional pain biomarker urine test panel is considered INV & NMN for chronic pain management and for all other indications Listed existing CPT® PLA code 0117U specific to this test; considered INV & NMN 12/1/2022

Source: https://providernews.anthem.com/ohio/article/medical-policy-and-clinical-guideline-updates-september-2022-1

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