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November 2013

New procedure code added to Medicare Advantage physician office lab list

Blue Cross Blue Shield of Michigan has added procedure code *83861 to our Medicare Advantage Physician Office Laboratory list. This procedure code is payable in an office setting when it’s performed by an optometrist or ophthalmologist. We hope this addition will support your patient care.

This test is covered by Medicare and other third-party payers when it’s medically necessary and ordered by a licensed provider. It’s covered and reimbursed as a lab service under the federal Clinical Laboratory Improvement Amendments Act.

For more information, please see the Sept. 25 web-DENIS message on this topic or contact your provider consultant.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.
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