Updates to In-office Laboratory Test Payment Policy
05/01/2024
BACKGROUND:
Passport by Molina Healthcare (Passport) would like to alert providers of updates made to the In-Office Laboratory Tests payment policy. The below codes have been added to the list of laboratory services allowed in a physician’s office for all lines of business.
|
80307 |
TESTING FOR PRESENCE OF DRUG, BY CHEMISTRY ANALYZERS |
|
82247 |
BILIRUBIN LEVEL, TOTAL |
|
82248 |
BILIRUBIN LEVEL, DIRECT |
|
82746 |
FOLIC ACID LEVEL, SERUM |
|
82977 |
ASSAY OF GGT, GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL |
|
84100 |
ASSAY OF PHOSPHORUS |
|
86403 |
PARTICLE AGGLUT ANTBDY SCM |
|
87086 |
URINE CULTURE/COLONY COUNT |
|
87502 |
INFLUENZA DNA AMP PROBE |
|
87631 |
RESP VIRUS 3-5 TARGETS |
|
87634 |
RSV DNA/RNA AMP PROBE |
|
87800 |
DETECT AGNT MULT DNA DIRECT |
|
G0480 |
DRUG TEST DEF 1-7 CLASSES |
|
G0483 |
DRUG TEST DEF 22+ CLASSES |
|
G0659 |
DRUG TEST DEF SIMPLE ALL CL |
Passport routinely reviews our policies to ensure compliance with regulations and correct provider reimbursement. All current payment policies are published online at https://www.molinahealthcare.com/providers/ky/medicaid/policies/payment.aspx.
PROVIDER ACTION NEEDED:
Passport encourages providers and applicable office staff review the updated In-Office Laboratory Test payment policy and ensure proper billing guidelines are followed.
QUESTIONS:
If you have questions, please contact Provider Services at (800) 578-0775 or your Provider Services Representative.
©2024 Passport by Molina Healthcare (WZ-16544)