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Multiplex Pathogen Identification Panels for Infectious Disease - MEDICAID - VIRGINIA (Revised)
Effective date
Feb 4, 2025
Identified
Jun 24, 2026
Summary
This Humana Virginia Medicaid policy establishes coverage criteria for multiplex pathogen identification panels for infectious diseases in outpatient settings. It covers bacterial vaginitis testing, expanded respiratory infection panels (6+ targets) for high-risk patients, and tropical fever panels with specific clinical criteria.
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What to do
Action · 4 steps
01Before February 4, 2025: Billing team must update system to ensure proper documentation requirements for covered multiplex pathogen panels.
02Verify high-risk criteria documentation for expanded respiratory panels (87632, 87633) and ensure targeted panels are performed first.
03Flag non-covered codes (0152U, 0323U, 0330U, 0531U, 0557U, 0590U, 0593U) as requiring denial.
04Update encounter forms to capture required clinical criteria for tropical fever panels and bacterial vaginitis symptoms.
Codes mentioned
81514815158763287633
Original notice
Multiplex Pathogen Identification Panels for Infectious Disease - MEDICAID - VIRGINIA (Revised)
mcp.humana.com · Always check the source before changing claims.
Related changes
See all Humana changes →Multiplex Pathogen Identification Panels for Infectious Disease - MEDICAID - KENTUCKY (Revised)HighEffective Jun 29, 2026 · MedicaidMultiplex Pathogen Identification Panels for Infectious Disease - MEDICAID - KENTUCKY (Revised)MediumEffective Nov 12, 2025 · MedicaidMultiplex Pathogen Identification Panels for Infectious Disease - Medicare Advantage (Revised)MediumEffective Nov 2, 2026 · Medicare AdvantageBrowse every Humana change in the policy list