Genitourinary Pathogen Nucleic Acid Detection Panel Testing – Policy Number: 2020T0608A g

Effective Date: July 1, 2020  New Medical Policy

Genitourinary Pathogen Nucleic Acid Detection Panel Testing 0068U, 87480, 87481, 87482, 87510, 87511, 87512, 87660, 87661, 87797, 87798, 87799, 87800, 87801 Medical notes documenting all of the following: • Diagnosis • History of illness, including date of onset, and physical exam findings • Specific tests being ordered (e.g., test requisition form)

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/genitourinary-pathogen-detection-panel-testing-04012020.pdf