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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
COVID-19: In Vitro Diagnostic Testing - (0557)  PDF 365kB 05/15/2025
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 for Transplantation Rejection - (0465) ---- future effective policy  PDF 398kB 09/15/2025
Laboratory Testing Services - (0604)  PDF 701kB 03/15/2025
Laboratory Testing Services - (0604) ---- future effective policy  PDF 693kB 11/15/2025
Nucleaic Acid Pathogen Testing - (0530)  PDF 706kB 02/15/2025
Nucleic Acid Pathogen Testing - (0530) ---- future effective policy  PDF 708kB 10/15/2025
Pharmacogenetic Testing - (0500)   PDF 300kB 02/15/2025
Plasma Brain Natriuretic Peptide in the Outpatient Setting - (0028)  PDF 338kB 05/15/2025
Plasmapheresis - (0153)  PDF 469kB 06/15/2025
Tests for the Evaluation of Preterm Labor and Premature Rupture of Membranes - (0099)  PDF 404kB 07/15/2025
Tumor In Vitro Chemosensitivity and Chemoresistance Assays - (0203)  PDF 306kB 05/15/2025
Vitamin D Testing - (0526)  PDF 473kB 03/15/2025
Aug 29, 2025