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April 2014

Understanding the cotinine test box on the 2014 Blue Cross Blue Shield of Michigan Qualification Form

Blue Cross Blue Shield of Michigan has received numerous questions about the cotinine test requirement on the 2014 Qualification Form. Only certain members are required to undergo cotinine testing.

To make sure patients are not billed for services that are not covered, it’s important to follow the requirement instructions in the box.

If the cotinine check box is checked, order the test.

If the cotinine check box is not checked, do not order the test.

Remember: Cotinine tests are typically not a covered benefit, so please do not order the test for a patient who does not need it.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.