Tufts Health Plan 60-Day Notification
Effective January 1, 2010
Commercial Coding Edit: Incomplete Lab Panels

The following edit is effective for claims adjudicated on or after January 1, 2010:

When submitted on the same date of service, laboratory components of a panel are included in the laboratory panel code itself. Providers will not be separately reimbursed for more than two hepatic function panel procedure codes.

This change applies to commercial independent laboratories and facility providers and is reflected in the Laboratory and Outpatient payment policies.

November 1, 2009
Note: The information in this article was correct as of the date of posting and may not reflect subsequent policy changes.