Arkansas PASSE Laboratory Testing Policies

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The policies below are only effective for AR PASSE plans between 01/01/2022 through 05/08/2022.

• F2019: Flow Cytometry – Effective Date: 01-01-2022
• G2002: Cervical Cancer Screening – Effective Date: 01-01-2022
• G2005: Vitamin D Testing – Effective Date: 01-01-2022
• G2006: Hemoglobin A1c – Effective Date: 01-01-2022
• G2007: Prostate Biopsies – Effective Date: 01-01-2022
• G2008: Prostate Specific Antigen PSA Testing – Effective Date: 01-01-2022
• G2009: Preventive Screening in Adults – Effective Date: 01-01-2022
• G2011: Diagnostic Testing of Iron Homeostasis and Metabolism – Effective Date: 01-01-2022
• G2013: Hormonal Testing in Adult Males – Effective Date: 01-01-2022
• G2014: Vitamin B12 and Methylmalonic Acid Testing – Effective Date: 01-01-2022
• G2022: ANA/ENA Testing – Effective Date: 01-01-2022
• G2023: Pre Operative Testing – Effective Date: 01-01-2022 to 04-30-2022
• G2031: Allergen Testing – Effective Date: 01-01-2022
• G2035: Prenatal Screening – Effective Date: 01-01-2022
• G2036: Hepatitis C – Effective Date: 01-01-2022
• G2036: Hepatitis C – Effective Date: 07-01-2022
• G2042: Pediatric Preventive Screening – Effective Date: 01-01-2022
• G2043: Celiac Disease – Effective Date: 01-01-2022
• G2044: Helicobacter pylori Testing – Effective Date: 01-01-2022
• G2045: Thyroid Disease Testing – Effective Date: 01-01-2022
• G2048: Biochemical Markers of Alzheimer Disease and Dementia – Effective Date: 01-01-2022
• G2050: Cardiovascular Disease Risk Assessment – Effective Date: 01-01-2022
• G2051: Bone Turnover Markers Testing – Effective Date: 01-01-2022
• G2055: Prenatal Screening for Fetal Aneuploidy – Effective Date: 01-01-2022
• G2056: Diagnosis of Idiopathic Environmental Intolerance – Effective Date: 01-01-2022
• G2059: Epithelial Cell Cytology in Breast Cancer Risk Assessment – Effective Date: 01-01-2022
• G2060: Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Fecal Microbiota Transplant Testing – Effective Date: 01-01-2022
• G2061: Fecal Calprotectin Testing – Effective Date: 01-01-2022
• G2063: Testing for Diagnosis of Active or Latent Tuberculosis – Effective Date: 01-01-2022
• G2098: Immune Cell Function Assay – Effective Date: 01-01-2022
• G2099: Intracellular Micronutrient Analysis – Effective Date: 01-01-2022
• G2100: In Vitro Chemoresistance and Chemosensitivity Assays – Effective Date: 01-01-2022
• G2105: Immunopharmacologic Monitoring of Therapeutic Serum Antibodies – Effective Date: 01-01-2022
• G2107: Measurement of Thromboxane Metabolites for ASA Resistance – Effective Date: 01-01-2022
• G2110: Serum Testing for Hepatic Fibrosis in the Evaluation and Monitoring of Chronic Liver Disease – Effective Date: 01-01-2022
• G2113: Oral Screening Lesion Identification Systems and Genetic Screening – Effective Date: 01-01-2022
• G2113: Oral Screening Lesion Identification Systems and Genetic Screening – Effective Date: 07-01-2022
• G2115: Metabolite Markers of Thiopurines Testing – Effective Date: 01-01-2022
• G2119: Diagnostic Testing of Influenza – Effective Date: 01-01-2022
• G2120: Salivary Hormone Testing – Effective Date: 01-01-2022
• G2121: Lab Testing for the Diagnosis of IBD – Effective Date: 01-01-2022
• G2123: Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases – Effective Date: 01-01-2022
• G2124: Serum Tumor Markers for Malignancies – Effective Date: 01-01-2022
• G2125: Urinary Tumor Markers For Bladder Cancer – Effective Date: 01-01-2022
• G2127: Vectra DA Blood Test for Rheumatoid Arthritis – Effective Date: 01-01-2022
• G2130: ST2 Assay for Chronic Heart Failure – Effective Date: 01-01-2022
• G2130: ST2 Assay for Chronic Heart Failure – Effective Date: 07-01-2022
• G2132: Erectile Dysfunction – Effective Date: 01-01-2022
• G2132: Erectile Dysfunction – Effective Date: 07-01-2022
• G2133: ZIKA Virus Risk Assessment – Effective Date: 01-01-2022
• G2138: Evaluation of Dry Eyes – Effective Date: 01-01-2022
• G2143: Lyme Disease – Effective Date: 01-01-2022
• G2149: Pathogen Panel Testing – Effective Date: 01-01-2022
• G2150: Cardiac Biomarkers for Myocardial Infarction – Effective Date: 01-01-2022
• G2150: Cardiac Biomarkers for Myocardial Infarction – Effective Date: 07-01-2022
• G2153: Pancreatic Enzyme Testing for Acute Pancreatitis – Effective Date: 01-01-2022
• G2153: Pancreatic Enzyme Testing for Acute Pancreatitis – Effective Date: 07-01-2022
• G2154: Folate Testing – Effective Date: 01-01-2022
• G2154: Folate Testing – Effective Date: 07-01-2022
• G2155: General Inflammation Testing – Effective Date: 01-01-2022
• G2155: General Inflammation Testing – Effective Date: 07-01-2022
• G2156: Urine Culture Testing For Bacteria – Effective Date: 01-01-2022
• G2156: Urine Culture Testing for Bacteria – Effective Date: 07-01-2022
• G2157: Diagnostic Testing Of Common Sexually Transmitted Infections – Effective Date: 01-01-2022
• G2158: Testing for Mosquito- or Tick-Related Infections – Effective Date: 01-01-2022
• G2159: B Hemolytic Streptococcus Testing – Effective Date: 01-01-2022
• G2161: Hormonal Testing of Adult Females – Effective Date: 01-01-2022
• G2164: Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing – Effective Date: 01-01-2022
• G2173: Gamma-glutamyl Transferase – Effective Date: 01-01-2022
• G2173: Gamma-glutamyl Transferase – Effective Date: 07-01-2022
• G2174: Coronavirus Testing in the Outpatient Setting – Effective Date: 01-01-2022
• M2041: Venous and Arterial Thrombosis Risk Testing – Effective Date: 01-01-2022
• M2057: Diagnosis of Vaginitis including Multi-target PCR Testing – Effective Date: 01-01-2022
• M2058: Genetic Testing for Adolescent Idiopathic Scoliosis – Effective Date: 01-01-2022
• M2058: Genetic Testing for Adolescent Idiopathic Scoliosis – Effective Date: 07-01-2022
• M2068: Testing for Alpha-1 Antitrypsin Deficiency – Effective Date: 01-01-2022
• M2068: Testing for Alpha-1 Antitrypsin Deficiency – Effective Date: 07-01-2022
• M2093: HIV Genotyping and Phenotyping – Effective Date: 01-01-2022
• M2093: HIV Genotyping and Phenotyping – Effective Date: 07-01-2022
• M2097: Identification Of Microorganisms Using Nucleic Acid Probes – Effective Date: 01-01-2022
• M2097: Identification of Microorganisms using Nucleic Acid Probes – Effective Date: 07-01-2022
• M2112: Nerve Fiber Density Testing – Effective Date: 01-01-2022
• M2116: Plasma HIV-1 and HIV-2 RNA Quantification for HIV Infection – Effective Date: 01-01-2022
• M2136: DNA Ploidy Cell Cycle Analysis – Effective Date: 01-01-2022
• M2136: DNA Ploidy Cell Cycle Analysis – Effective Date: 07-01-2022
• M2141: Testing of Homocysteine Metabolism Related Conditions – Effective Date: 01-01-2022
• M2172: Onychomycosis Testing – Effective Date: 01-01-2022
• M2176: Testing for Autism Spectrum Disorder and Developmental Delay – Effective Date: 01-01-2022
• P2018: Immunohistochemistry – Effective Date: 01-01-2022
• R2162: Laboratory Procedures Reimbursement Policy – Effective Date: 07-01-2022
• T2015: Prescription Medication and Illicit Drug Testing in the Outpatient Setting – Effective Date: 01-01-2022