Medicaid Indiana: Laboratory Reference Modules updated

Laboratory Services

• Merged relevant information from the Medical Policy Manual into this module
• Updated the introductory note box and updated the Introduction section
• Added CLIA certification types in the Clinical Laboratory Improvement Amendment Regulations section and removed the table listing provider types subject to CLIA rules
• Added a note box explaining the HAF exception for outpatient laboratory services in the Reimbursement Methodology for Laboratory Services section
• Added modifier descriptions in the Billing Procedures for Laboratory Services section
• Renamed the Consultative Pathology Services section and removed the corresponding code table and billing guidelines for codes that allow interpretation
• Added a reference to cervical cancer screening and added a note box regarding PA requirements in the Policies and Procedures for Specific Laboratory Services section
• Added information about covered HIV testing methods in the HIV Testing section, and removed specific USPSTF guidelines

The following code table has been removed from the Code Sets page:

Laboratory Services Codes – Clinical Lab Procedure Codes That Allow Interpretation

• Providers are advised to follow national billing guidelines for laboratory procedure codes that allow interpretation

https://provider.indianamedicaid.com/general-provider-services/billing-and-remittance/code-sets.aspx