Billing Beat

Reimbursement Policy Update – Laboratory Services Respiratory Viral Panel Testing Policy, Facility

April 13, 2021

Effective June 1, 2021 The new Laboratory Services Respiratory Viral Panel Testing Policy, Facility will be effective for dates of service on or after 6/1/2021.

Consistent with guidelines included in CMS Local Coverage Determinations, the policy will deny certain multiplex PCR respiratory viral panels of 6 or more pathogens.

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/rpub/UHC-COMM-RPUB-March-2021.pdf

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