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February 2019

Laboratory procedure code *87798 will require supportive documentation, effective March 1, 2019

Procedure code *87798, a not-otherwise-classified procedure code, has been moving through our claims systems without receiving individual consideration, while other not-otherwise-classified codes have required medical records to be submitted. However, effective March 1, 2019, Blue Cross Blue Shield of Michigan will require identification of the organism being tested and/or supportive documentation when a claim for this code is submitted.

For more information on how to submit a claim for this code, see the “Services that Always Require Medical Records” section in the “Claims” chapter of the online provider manual.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2018 American Medical Association. All rights reserved.
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