CommercialBilling CodesMedium impact
Urinalysis
Blue Cross & Blue Shield of Mississippi·MS · Family Medicine, Internal Medicine, General Practice +5 more·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
BCBS Mississippi updated their urinalysis policy (L.2.04.418) with new ICD-10 diagnosis codes effective October 1, 2025, including new codes for diabetes complications, metabolic disorders, and pulmonary conditions. The policy maintains the same medical necessity criteria for urinalysis testing but expands the list of covered diagnostic codes.
Action Required
By October 1, 2025: Billing team must update coding system to include new covered ICD-10 diagnosis codes (E11.A, E72.530-E72.549, I27.841-I27.849, R10.A0-R10.A3, R11.16) for urinalysis claims and remove deleted code F50.01. Verify that urinalysis orders (CPT 81000-81003) with these new diagnosis codes will be processed for coverage. Update encounter forms and EMR templates to reflect expanded coverage criteria.