BCBSM adds 2 codes to Medicare Advantage PPO Physician Office Laboratory List

On Aug. 5, 2013, Blue Cross Blue Shield of Michigan Medicare Advantage added two new codes to its MA Physician Office Laboratory List: codes *83037 and *80061.

The addition of these two codes allows our providers to bill and be reimbursed for providing these two services in an office setting and lab environment.

The procedures listed on the Medicare Advantage PPO Physician Office Lab List are services that are appropriate in an office setting. If lab services are provided and are not on this list, then they’re not considered payable, and members can’t be balance-billed for those services.

Remember to also use the appropriate CPT II code on the claims to communicate the results of these screening tests. See article titled “Laboratory fee increases for select physician office lab tests” also in this issue of The Record.

For more details, see the Aug. 5, 2013, web-DENIS message on the MA PPO Physician Office Laboratory List. If you have any questions, contact your provider consultant.