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Laboratory/Pathology

Document Title Document Type Document Size Effective Date
Autonomic Nerve Function Testing - (0506)  PDF 273kB 02/15/2025
Cervical Cancer Screening Visualization Technologies - (0127)  PDF 177kB 10/15/2024
Chromoendoscopy - (0148)  PDF 262kB 12/15/2024
Comparative Genomic Hybridization (CGH)/Chromosomal Microarray Analysis (CMA) for Selected Hereditary Conditions - (0493)  PDF
COVID-19: In Vitro Diagnostic Testing - (0557)  PDF 396kB 06/15/2024
Drug Testing - (0513)  PDF 243kB 02/15/2025
Flow Cytometry - (0538)  PDF 367kB 09/15/2024
Genetic Testing for Hereditary and Multifactorial Conditions - (0052)  PDF 419kB 11/01/2024
Laboratory Testing Services - (0604)  PDF 701kB 03/15/2025
Nucleic Acid Pathogen Testing - (0530) ---- future effective policy  PDF 1098kB 07/15/2025
Pharmacogenetic Testing - (0500)   PDF 300kB 02/15/2025
Plasma Brain Natriuretic Peptide in the Outpatient Setting - (0028)  PDF 320kB 05/15/2024
Plasmapheresis - (0153)  PDF 481kB 06/15/2024
Tests for the Evaluation of Preterm Labor and Premature Rupture of Membranes - (0099)  PDF 435kB 07/15/2024
Tumor In Vitro Chemosensitivity and Chemoresistance Assays - (0203)  PDF 304kB 02/15/2025
Vitamin D Testing - (0526)  PDF 473kB 03/15/2025
May 06, 2025