Blue Care Network’s Medical Policy Updates July – August 2019
July 8, 2019Genetic testing for the diagnosis of inherited peripheral neuropathies:
• Revised policy
• Effective date: July 1, 2019
• No referral required — Use appropriate contracted vendor
• Procedure codes: *81324‑81326, *81403‑80406, *81448, *81479
Genetic testing‑expanded molecular panel testing of cancers to identify targeted therapies:
• Revised policy • Effective date: July 1, 2019
• No referral required — Use appropriate contracted vendor
• Procedure codes: *81445, *81450
Drug testing of urine, oral fluids, and hair:
• New policy
• Effective date: May 1, 2019
• No referral required — Use appropriate contracted vendor • Procedure codes: *80305 – 80307, *80320 – 80377, *83992 (for reporting purposes), G0480 – G0483, G0659
Genetic testing for myotonic dystrophy:
• Revised policy
• Effective date: July 1, 2019
• No referral required — Use appropriate contracted vendor • Procedure codes: *81187, *81234, *81239, *S3853