UHC – New Policy: Genitourinary Pathogen Nucleic Acid Detection Panel Testing Policy Number: Cs172.A, for Tennessee Only cs172tn.A

Effective Date: May 1, 2020, for Maryland, Missouri, Rhode Island, Virginia, and Washington.

Effective Date: 6/01/2020 New York, Ohio

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/comm-plan/genitourinary-pathogen-testing-cs-05012020.pdf