Billing Beat

Blues highlight medical, benefit policy changes for genetic tests for Feb. 2014

February 6, 2014

The latest information about procedure codes and Blue Cross Blue Shield of Michigan billing guidelines are as follows. New procedures that are not covered will appear under Experimental Procedures.

EXPERIMENTAL PROCEDURES
81500, 81503 Basic Benefit and Medical Policy
Proteomics-based testing for the evaluation of ovarian (adnexal) masses (e.g., OVA1® and ROMA™ tests) is considered experimental. The use of this testing has not been scientifically demonstrated to improve patient clinical outcomes.
This policy is effective Sept. 1, 2013

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