CommercialBilling CodesHigh impact
Laboratory Payment Policies: June 1, 2026 updates
Harvard Pilgrim Health Care·Family Medicine, Internal Medicine, OB-GYN +5 more·Reimbursement
Effective date
Jun 1, 2026
We identified it
Jun 20, 2026
Summary
Point32Health (Harvard Pilgrim) is implementing extensive CPT code changes across multiple laboratory policies effective June 1, 2026, including removing 23 codes and adding 24 new codes across 11 different lab testing categories. A new prenatal testing policy for fetal aneuploidy is also being introduced.
Action Required
By May 31, 2026: Billing team must update billing software and encounter forms to remove 23 discontinued CPT codes and add 24 new CPT codes for Harvard Pilgrim Commercial members. Review the new Laboratory: Prenatal Testing for Fetal Aneuploidy policy on the Point32Health provider website. Claims using removed codes after June 1, 2026 will be subject to automated edits and potential denial.