This policy describes the reimbursement methodology for laboratory panels and individual Component Codes, as well as reimbursement for venipuncture services, laboratory services performed in a facility setting, laboratory handling, surgical pathology,clinical pathology consultationsand drug assay codes. The policy also addresses place of service and date of service relating to laboratory services.
Duplicate laboratory code submissions by the same or multiple physicians or other qualified health care professionals, as well as certain laboratory services provided in a facility place of service,are also addressed in this policy.
Note this policy does not address reimbursement for all laboratory codes.Coding relationships for laboratory topics not included within this policyare administeredthrough the UnitedHealthcare “Rebundling” and “CCI Editing” policies. All services described in this policy may be subject to additional UnitedHealthcare reimbursement policies including, but not limited to, the Rebundling and CCI Editing Policy, the CLIA Policy and the Professional/Technical Component Policy.
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