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PAP252

Electronic Submission of Lab Results


Provider Administrative Policy

Section
Claims Submission
Policy Date
January 2010
Status/Date
New/June 2012
Provider Type(s)
All Providers  

Disclaimer

Our provider administrative policies contain information regarding claims submission, reimbursement, and other information in order to achieve an efficient relationship with our providers. These policies are not an authorization or explanation of benefits. Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts.

Policy

Electronic Submission of Lab Results

Blue Cross of Idaho requires data on specific lab results in an effort to proactively educate our members and reinforce the physician’s treatment plan for certain conditions.  The physician agreement states:

Clinic agrees to provide laboratories with sufficient patient and payer information required for the laboratory to transmit lab results electronically to Blue Cross of Idaho. Clinic also agrees that if the labs are not available from a lab entity then the clinic will supply a copy of the lab results to the requesting staff from BCI. 

Please provide the lab with the following:

  • Patient name
  • Insurance plan name
  • ID# with prefix
  • Birth date
  • Relationship to member/subscriber

 Code

 Description

80053

Comprehensive metabolic panel

80061

Lipid Panel

81000

Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy

81001

Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy

81002

Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy

81003

Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy

81005

Urinalysis; qualitative or semiquantitative, except immunoassays

82040

Albumin

82042

Albumin; urine or other source, quantitative, each specimen

82043

Albumin; urine, microalbumin, quantitative

82044

Albumin; urine, microalbumin, semiquantitative (eg, reagent strip assay)

82247

Bilirubin, total

82310

Calcium, total

82374

Carbin dioxide (bicarbonate)

82435

Chloride

82565

Creatnine

82947

Glucose

83036

Hemoglobin: glycosylated (A1c)

83037

Hemoglobin: glycosylated (A1c) by device cleared by FDA for home use

83700

Lipoprotein, blood; electrophoretic separation and quantitation

83701

Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)

83704

Lipoprotein, blood; quantitation of lipoprotein particle numbers and lipoprotein particle subclasses (eg, by nuclear magnetic resonance spectroscopy)

83718

Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)

83721

Lipoprotein, direct measurement; LDL cholesterol

84075

Phosphatase alkaline

84132

Potassium

84135

Protein, total

84156

Protein, total, except by refractometry; urine

84295

Sodium

84443

Thyroid Stimulation Hormone

84450

ALT, SGOT

84460

ALT, SGPT

84478

Triglycerides

84520

BUN

85014

Hematocrit

85018

Hemoglobin

85027

Complete CBC

85210

Prothrombin

85610-85611

Prothrombin Time

85651

Sedimentary Rate manual

85652

Sedimentary Rate automated

 


 

 


Policy History

Date Action Reason
June 2012 Revised Updated Codes
March 2012 Revised Added Code 83037

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