| Policy Name |
Policy Number |
Effective Date |
Archived Documents |
|---|
| Allergen Testing |
CPCPLAB013 |
2/1/2023 |
N/A |
| ANA-ENA Testing |
CPCPLAB011 |
2/1/2023 |
N/A |
| Beta Hemolytic Streptococcus Testing |
CPCPLAB053 |
2/1/2023 |
N/A |
| Cardiac Biomarkers for Myocardial Infarction |
CPCPLAB046 |
2/1/2023 |
N/A |
| Cardiovascular Disease Risk Assessment |
CPCPLAB020 |
2/1/2023 |
N/A |
| Celiac Disease Testing |
CPCPLAB017 |
11/1/2022 |
N/A |
| Cervical Cancer Screening |
CPCPLAB002 |
2/1/2023 |
N/A |
| Diagnosis of Idiopathic Environmental Intolerance |
CPCPLAB023 |
11/1/2022 |
N/A |
| Diagnosis of Vaginitis |
CPCPLAB059 |
2/1/2023 |
N/A |
| Diagnostic Testing of Influenza |
CPCPLAB033 |
11/1/2022 |
N/A |
| Diagnostic Testing of Iron Homeostasis and Metabolism |
CPCPLAB008 |
11/1/2022 |
N/A |
| DNA Ploidy Cell Cycle Analysis |
CPCPLAB066 |
11/1/2022 |
N/A |
| Epithelial Cell Cytology in Breast Cancer Risk Assessment |
CPCPLAB024 |
11/1/2022 |
N/A |
| Erectile Dysfunction |
CPCPLAB041 |
2/1/2023 |
N/A |
| Evaluation of Dry Eyes |
CPCPLAB043 |
11/1/2022 |
N/A |
| Fecal Analysis in the Diagnosis of Intestinal Dysbiosis |
CPCPLAB025 |
2/1/2023 |
N/A |
| Fecal Calprotectin Testing in Adults |
CPCPLAB026 |
11/1/2022 |
N/A |
| Flow Cytometry |
CPCPLAB001 |
2/1/2023 |
N/A |
| Folate Testing |
CPCPLAB048 |
2/1/2023 |
N/A |
| Gamma-glutamyl Transferase |
CPCPLAB056 |
11/1/2022 |
N/A |
| General Inflammation Testing |
CPCPLAB049 |
2/1/2023 |
N/A |
| Genetic Testing for Adolescent Idiopathic Scoliosis |
CPCPLAB060 |
11/1/2022 |
N/A |
| Helicobacter pylori Testing |
CPCPLAB018 |
2/1/2023 |
N/A |
| Hemoglobin A1c |
CPCPLAB004 |
2/1/2023 |
N/A |
| Hepatitis C |
CPCPLAB015 |
2/1/2023 |
N/A |
| Identification of Microorganisms Using Nucleic Acid Probes |
CPCPLAB063 |
2/1/2023 |
N/A |
| Immune Cell Function Assay |
CPCPLAB028 |
11/1/2022 |
N/A |
| Immunohistochemistry |
CPCPLAB069 |
11/1/2022 |
N/A |
| In Vitro Chemoresistance and Chemosensitive Assays |
CPCPLAB030 |
11/1/2022 |
N/A |
| Intracellular Micronutrient Analysis |
CPCPLAB029 |
11/1/2022 |
N/A |
| Laboratory Testing for Diagnosis of Inflammatory Bowel Disease |
CPCPLAB035 |
11/1/2022 |
N/A |
| Lyme Disease |
CPCPLAB044 |
11/1/2022 |
N/A |
| Measurement of Thromboxane Metabolites |
CPCPLAB031 |
11/1/2022 |
N/A |
| Nerve Fiber Density Testing |
CPCPLAB064 |
2/1/2023 |
N/A |
| Onychomycosis Testing |
CPCPLAB068 |
11/1/2022 |
N/A |
| Oral Screening Lesion Identification Systems |
CPCPLAB032 |
11/1/2022 |
N/A |
| Pancreatic Enzyme Testing for Acute Pancreatitis |
CPCPLAB047 |
2/1/2023 |
N/A |
| Parathyroid Hormone Phosphorous Calcium and Magnesium Testing |
CPCPLAB055 |
11/1/2022 |
N/A |
| Pathogen Panel Testing |
CPCPLAB045 |
11/1/2022 |
N/A |
| Pediatric Preventive Screening |
CPCPLAB016 |
2/1/2023 |
N/A |
| Plasma HIV-1 and HIV-2 RNA Quantification |
CPCPLAB065 |
11/1/2022 |
N/A |
| Prenatal Screening |
CPCPLAB014 |
2/1/2023 |
N/A |
| Prenatal Screening for Fetal Aneuploidy |
CPCPLAB022 |
11/1/2022 |
N/A |
| Pre-Operative Testing |
CPCPLAB012 |
2/1/2023 |
N/A |
| Prescription Medication and Illicit Drug Testing in the Output Setting |
CPCPLAB070 |
11/1/2022 |
N/A |
| Preventive Screening in Adults |
CPCPLAB007 |
11/1/2022 |
N/A |
| Prostate Biopsies |
CPCPLAB005 |
11/1/2022 |
N/A |
| Prostate Specific Antigen Testing |
CPCPLAB006 |
2/1/2023 |
N/A |
| Salivary Hormone Testing |
CPCPLAB034 |
11/1/2022 |
N/A |
| Serum Biomarker Testing for MS and Related Neuro Diseases |
CPCPLAB036 |
2/1/2023 |
N/A |
| ST2 Assay for Chronic Heart Failure |
CPCPLAB040 |
11/1/2022 |
N/A |
| Testing for Alpha-1 Antitrypsin Deficiency |
CPCPLAB061 |
11/1/2022 |
N/A |
| Testing for Diagnosis of Active or Latent TB |
CPCPLAB027 |
11/1/2022 |
N/A |
| Testing for Homocysteine Metabolism Related Conditions |
CPCPLAB067 |
11/1/2022 |
N/A |
| Testing for Mosquito or Tick Related Infections |
CPCPLAB052 |
11/1/2022 |
N/A |
| Testosterone Testing |
CPCPLAB009 |
11/1/2022 |
N/A |
| Thyroid Disease Testing |
CPCPLAB019 |
2/1/2023 |
N/A |
| Urine Culture Testing for Bacteria |
CPCPLAB050 |
11/1/2022 |
N/A |
| Vectra DA Blood Test for Rheumatoid Arthritis |
CPCPLAB039 |
11/1/2022 |
N/A |
| Venous and Arterial Thrombosis Risk Testing |
CPCPLAB058 |
11/1/2022 |
N/A |
| Vitamin B12 and Methylmalonic Acid Testing |
CPCPLAB010 |
2/1/2023 |
N/A |
| Vitamin D |
CPCPLAB003 |
2/1/2023 |
N/A |
| ZIKA Virus Risk Assessment |
CPCPLAB042 |
2/1/2023 |
N/A |
