| Diagnosis of Idiopathic Environmental Intolerance | Policy Number | Effective Date | End Date |
|---|
| Diagnosis of Idiopathic Environmental Intolerance | CPCPLAB023 | 01/01/2026 | 04/30/2026 |
| Diagnostic Testing of Iron Homeostasis and Metabolism | Policy Number | Effective Date | End Date |
|---|
| Diagnostic Testing of Iron Homeostasis and Metabolism | CPCPLAB008 | 01/01/2026 | 04/30/2026 |
| Immune Cell Function Assay | Policy Number | Effective Date | End Date |
|---|
| Immune Cell Function Assay | CPCPLAB028 | 01/01/2026 | 04/30/2026 |
| Immunohistochemistry | Policy Number | Effective Date | End Date |
|---|
| Immunohistochemistry | CPCPLAB069 | 01/01/2026 | 04/30/2026 |
| Lyme Disease Testing | Policy Number | Effective Date | End Date |
|---|
| Lyme Disease Testing | CPCPLAB044 | 01/01/2026 | 03/31/2026 |
| Nerve Fiber Density Testing | Policy Number | Effective Date | End Date |
|---|
| Nerve Fiber Density Testing | CPCPLAB064 | 01/01/2026 | 04/30/2026 |
| Pathogen Panel Testing | Policy Number | Effective Date | End Date |
|---|
| Pathogen Panel Testing | CPCPLAB045 | 01/01/2026 | 04/23/2026 |
| Prescription Medication and Illicit Drug Testing | Policy Number | Effective Date | End Date |
|---|
| Prescription Medication and Illicit Drug Testing | CPCPLAB070 | 01/01/2026 | 04/23/2026 |
| Testing for Diagnosis of Active or Latent Tuberculosis | Policy Number | Effective Date | End Date |
|---|
| Testing for Diagnosis of Active or Latent Tuberculosis | CPCPLAB027 | 01/01/2026 | 04/23/2026 |
| Testing of Homocysteine Metabolism-Related Conditions | Policy Number | Effective Date | End Date |
|---|
| Testing of Homocysteine Metabolism-Related Conditions | CPCPLAB067 | 01/01/2026 | 04/30/2026 |
| Testosterone | Policy Number | Effective Date | End Date |
|---|
| Testosterone | CPCPLAB009 | 01/01/2026 | 04/30/2026 |
| Urinary Tumor Markers for Bladder Cancer | Policy Number | Effective Date | End Date |
|---|
| Urinary Tumor Markers for Bladder Cancer | CPCPLAB038 | 01/01/2026 | 04/30/2026 |
| Vitamin B12 and Methylmalonic Acid Testing | Policy Number | Effective Date | End Date |
|---|
| Vitamin B12 and Methylmalonic Acid Testing | CPCPLAB010 | 01/01/2026 | 04/30/2026 |
| Vitamin D Testing | Policy Number | Effective Date | End Date |
|---|
| Vitamin D Testing | CPCPLAB003 | 01/01/2026 | 04/30/2026 |
