MedicaidBilling CodesMedium impact
Multi-Test Laboratory Panels
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Feb 1, 2024
We identified it
Jun 20, 2026
Summary
This policy clarifies billing requirements for multi-test laboratory panels, requiring all panel components be performed on the same date and billed as a single panel code rather than unbundled individual tests. Additional medically necessary tests beyond the panel components may be billed separately.
Action Required
Immediately: Billing team must review all laboratory panel billing to ensure complete panels are billed using panel CPT codes instead of individual component codes when all tests are performed on the same date. Update billing system edits to prevent unbundling of panel components. Verify practice has appropriate CLIA certificates for all laboratory tests performed.