Billing for Organ - or Disease-oriented Lab Panels - Medicare Advantage Plans

CPT includes codes for specific organ- and disease-oriented panels, composed of individual laboratory tests, as well as codes for the individual tests. For Medicare Advantage plans such as HMSA Akamai Advantage®, either the panel codes or the individual test codes can be billed. Only codes from the current edition of CPT should be used. Other codes, such as HCPCS (for an exception, see the "Stat Charges" subsection) or ATP, should not be billed. Reporting of the billed codes is explained in the subsection "Processing and Reporting of Organ- or Disease-oriented Lab Panels."

Revision History