BCBS Michigan – NEW PAYABLE PROCEDURES

Basic benefit and medical policy.

Proprietary laboratory analyses codes.

Proprietary laboratory analyses, or PLA, codes are considered experimental until the laboratory test the code represents is formally documented as established. Established CPT codes may be used to represent and reimburse testing for incremental codes or multi-target codes.

0003U, 0007U, 0016U, 0017U, 0022U, 0023U, 0026U, 0027U, 0034U, 0039U, 0040U, 0041U, 0042U, 0043U, 0044U, 0046U, 0047U, 0049U, 0064U, 0065U, 0068U, 0077U, 0093U, 0107U, 0111U, 0155U, 0177U, 0202U, 0223U, 0224U, 0226U, 0240U, 0241U

This policy is effective March 1, 2022.

Source: https://www.bcbsm.com/content/dam/microsites/corpcomm/provider/the_record/2022/apr/Record_0422g.shtml