Resources for Providers

Advance Beneficiary Notice of Noncoverage - English
Advance Beneficiary Notice of Noncoverage - Spanish
Using the ABN - Instructions

2019 Outpatient Antibiogram - Non-Urine Isolates
2019 Outpatient Antibiogram - Urine Isolates
2021 Outpatient Antibiogram V2
2022 Outpatient Antibiogram

2023 Annual Provider Notice 5 JAN 23
Body Mass Index (BMI) Coding Requirements.2020
Chronic Kidney Disease Coding Reference
Coding and Documentation Best Practices
Compliance with State and Federal Public Health Reporting
COVID-19 ICD10 Coding Effective 1.1.2021_Revised 3.3.2022
CPT Codes Genetic-Molecular Tests 7 JUL 21
Diabetes Coding Reference
Hypertension Coding Reference
Medical Necessity
Medical Necessity Requirements for Drug Screens
Neoplasm of Uncertain Behavior.2020
Patient Payment Responsibility Questions & Answers + How To Read Your Bill
Preauthorization and Medical Necessity
Provide All The Diagnoses Required.2020
Testing and patient responsibility 20 AUG 20
Z Code (Z00 Z99) Coding Guidelines
Z33.1 and Z3A Code Category Prov Ed.2020

Locations

Local Coverage Determination
National Coverage Determination

Bone Marrow Transplantation Requisition
Cystic Fibrosis Mutation Requisition 
Cytogenetics Requisition
Cytology Non-Gynecological Requisition
HLA Renal Requisition
Hematopathology-IHC, Flow, Molecular, Cytogenetics with English and Spanish Informed Consent Forms
Informed Consent for Genetic Analysis-English + Spanish
Ph-Like Requisition
Prenatal-Maternal Screen Requisition
Solid Tumor Requisition

Supply Order Form
Genetics Cytometry and Anatomic Pathology Supply Order Form

Order of Draw and Commonly Ordered Tests for Evacuated Tube and Syringe Blood Collection
Stool Specimen Collection- Patient Instructions SPANISH
Stool Specimen Collection- Patient Instructions English
BD BACTEC Blood Culture Collection Bottles
Clean Catch Urine Collection Patient Instructions - English + Spanish

25-Hydroxy Vitamin D Assay 20 SEP 19
Allergen-Specific Immunoglobulin E Antibody Testing
Ambient Whole Blood PTT Testing 23 DEC 19
Anti-Mullerian Hormone (AMH) 17 APR 19
Biotin (Vitamin B7) May Interfere With Laboratory Tests 9 SEP 21
Blood Lead Testing Changes 18 NOV 19
Body Fluid Testing Options 27 OCT 22
Cancer Antigen 15-3 and Cancer Antigen 27.29 Testing Changes 2 NOV 21
Cancer Antigen 19-9 and CEA Testing 8 JUL 22
Conversion to a High-Sensitivity Cardiac Troponin T Test 5 JUL 22
CEBPA Mutation Detection, PCR 9 MAY 19
Celiac Disease Testing 12 MAY 21
Changes to Fungal Antibody Test 6 JUN 23
Change in Acceptable Tube Type For LEAD 1 JUN 23
Chromosomal Microarray 16 SEP 21
Chromosomal Microarray Patient Clinical Information 16 SEP 21
CINtec® Plus Immunocytochemical Assay 30 SEP 20
Coagulation Laboratory - New Quantitative Aixaban And Rivaroxaban Assays 30 MAR 21
Coagulation Laboratory Anticoagulant Effects on Coagulation Assays 31 JAN 19
Coagulation Laboratory Factor VIII (F8) Activity Assay Update 30 NOV 20
Coagulation Laboratory Protein C & Protein S Test Update 31 JAN 19
CPT Codes Genetic-Molecular Tests 7 JUL 21
Critical and Clinically Urgent Value List 21 DEC 22
DH/TH FISH Panel Expanded
Do Not Add On Tests To A Previously Ordered COVID Test 10 NOV 20
Erythrocyte Sedimentation Rate (ESR)- New Reference Ranges 30 SEP 21
EBV Testing Delay 11 NOV 22
Eosinophilia FISH Panel 19 SEP 23
Estimated Glomerular Filtration Rate (eGFR) Calculations_Changes 22 JUN 22
Eosinophilia FISH Panel 19 SEP 23
Fragile X Testing 9 MAR 17
Gastrointestinal Testing for Parasites and Viruses 10 SEPT 20
Helicobacter pylori (H. pylori) Noninvasive Testing 16 MAY 21
Hepatitis C Virus Diagnosis Testing 15 DEC 21
HER2 FISH Analysis New Diagnostic Guidelines 9 SEP 18
Herpes Simplex Virus Nucleic Acid Amplification Testing of Whole Blood 21 JUN 22
Immunohistochemical Stain Catalogue 13 OCT 20
Influenza Virus A B, Respiratory Syncytial Virus RSV, and COVID-19-Testing 3 OCT 21
Inhouse Testing For MYD88 L265P Mutation 18 FEB 21
Inpatient With COVID-19 or Influenza-Like-Illness 19 OCT 21
Ketone B-Hydroxybutyrate (KETBHB) - Change 17 FEB 21
Lactic acid reagents shortage 9 SEPT 21
Maternal Serum Screening 16 JUN 21
Meconium Drug Screening, Changes 19 OCT 22
Molecular Assays - CALR and MPL 9 MAR 17
Monkeypox Virus Testing Update 8 SEPT 23
Monkeypox Test 19 SEP 22
Myeloid Disorder Mutation Panel 12 MAY 21
Neonatal Bilirubin Panel - Discontinued 14 DEC 22
New Urine Cytology Reporting 3 JAN 17
Oral Glucose Tolerance Tests Change 9 JUN 21
Outpatient With COVID-19 or Influenza-Like-Illness 19 OCT 21
Pain Management - Benzodiazepine Metabolism 2 NOV 20
Pain Management - Opiate Metabolism 2 NOV 20
Pain Management - POCT 2 NOV 20
Pain Management - Test Selection 2 NOV 20
Pain Management Compliance Testing - Urine Panels 22 OCT 20
PAP and HPVHR Order Guide 4 JAN 19
Pap Smear Collections ThinPrep and SurePath 1 DEC 17
Paraneoplastic Serum CSF Test Changes 17 NOV 22
Platelet-Poor Plasma Preparation 22 NOV 19
Platelet Refractory IgG Antibody Identification and HLA AB Typing Tests 23 SEP 22
Pneumocystis Pneumonia Nucleic Acid Amplification Testing 15 JUN 22
Primary HPV Screening 8 OCT 20
QuantiFERON-TB Gold Plus Changes 10 JUN 21
Reference Ranges Erythrocyte Sedimentation Rate (ESR) 30 SEP 21
Reverse T3 Testing 2 AUG 21
Rubella IgG Antibody Testing Changes 5 APR 21
Safety Collection Set 18 OCT 21
Serological Testing for SARS-CoV-2 Antibodies 6 MAY 20
Serum and Urine Protein Electrophoresis Tests Changes 19 OCT 21
Sodium citrate tube shortage-acceptable tubes 31 AUG 21
Streptococcal Pharyngitis (GASAMP) NEW 4 MAY 22
Streptococcus Pneumoniae & Legionella Pneumophila Serogroup 1 Urinary Antigens (USTLEG) NEW 25 JAN 23
Syphilis Screening Algorithm 9 NOV 21
Temporary Substitution TriCore Item #110453 30 SEP 21
Test Changes Bulletin February 22, 2023
Test Changes Bulletin April 5, 2023
Test Changes Bulletin 14 JUN, 2023
Testing Delay for Cyclic Citrullinated Peptide Antibody AgG April 14, 2023
Testing For Influenza Virus A/B, Respiratory Syncytial Virus (RSV), And COVID-19 3 OCT 21
Testosterone Assays 25 FEB 16
Therapeutic Drug Monitoring Optimal Specimen Collection Times 29 JUL 21
Thiopurine Sensitivity Pharmacogenetic Testing 18 FEB 22
Thyroglobulin and Thyroglobulin Antibody Tests_CHANGES_20 JUL 22
Transition Away From Test Codes FISH and CHRANA 5 JAN 23
Trichomonas Vaginalis Testing (TRICHV) 17 FEB 22
TriCore Test Compendium with changes to 13 OCT 23
Umbilical Cord Drug Screening 16 JUL 19
Urine Toxicology Testing 16 NOV 21
Urine Toxicology Testing 26 JAN 23
Vaginitis Testing (VAGAMP) NEW 25 APR 22
Yellow Aptima Urine Container Change 17 SEP 20