Beginning October 12, 2026, patients with Medicare Advantage coverage must have an appropriate medically necessary diagnosis associated with certain laboratory tests for the testing to be covered.
This change affects the following tests:
| Test | Lab Order Code(s) |
|---|---|
| Vitamin D | LAB1231384, LAB1231583 |
| Vitamin B12 | LAB67, LAB1231122 |
| Lipid Panel | LAB18, LAB2111122 |
| Hemoglobin A1c (Hgb A1c) | LAB90 |
| Thyroid Stimulating Hormone (TSH) | LAB129, LAB1231632, LAB1000, LAB3077 |
This monthly bulletin includes updates about insurance payor nuances, diagnosis coding reminders, and other helpful tips and information regarding all things laboratory billing.
If you have any questions, please reach out to your laboratory account manager.
This monthly bulletin includes updates about insurance payor nuances, diagnosis coding reminders, and other helpful tips and information regarding all things laboratory billing.
If you have any questions, please reach out to your laboratory account manager.
This monthly bulletin includes updates about insurance payor nuances, diagnosis coding reminders, and other helpful tips and information regarding all things laboratory billing.
If you have any questions, please reach out to your laboratory account manager.
This monthly bulletin includes updates about insurance payor nuances, diagnosis coding reminders, and other helpful tips and information regarding all things laboratory billing.
If you have any questions, please reach out to your laboratory account manager.
This monthly bulletin includes updates about insurance payor nuances, diagnosis coding reminders, and other helpful tips and information regarding all things laboratory billing.
If you have any questions, please reach out to your laboratory account manager.
This monthly bulletin includes updates about insurance payor nuances, diagnosis coding reminders, and other helpful tips and information regarding all things laboratory billing.
If you have any questions, please reach out to your laboratory account manager.
This bi-monthly bulletin includes updates about insurance payor nuances, diagnosis coding reminders, and other helpful tips and information regarding all things laboratory billing.
Lab Billing Brief: Z-Codes and Medical Necessity
If you have any questions, please reach out to your laboratory account manager.
Updated 11/2025 – We’ve updated our Billing Brief on Syphilis Antibody Testing to reflect recent changes from Blue Cross Blue Shield (BCBS).
We’re excited to introduce our Laboratory Billing Brief. This bi-monthly flyer includes updates about insurance payor nuances, diagnosis coding reminders, and other helpful tips and information regarding all things laboratory billing.
Collaborate: Lab Billing Brief: Antibody Testing for Syphilis
If you have any questions, please reach out to your laboratory account manager.