Changes to valid fee-for-service medical codes effective November 1, 2015

Effective November 1, 2015, the Oregon Health Authority updated Oregon Administrative Rule (OAR) 410-130-0220 (Not Covered/ Bundled Services). The rule now specifies laboratory codes that are not valid for claim processing. These changes align with Medicare’s payment policies, national code sets, the Prioritized List of Health Services, and coverage recommendations from the Health Evidence Review Commission. All codes listed in OAR 410-130-0220 will be closed to payment effective January 1, 2016.