BCBS TexasMedium ImpactReimbursement
Clinical Payment and Coding Policy Updates
Published May 3, 2026Effective April 24, 2026
AI Summary
Four clinical payment and coding policies have been updated covering prenatal screening, tuberculosis testing, pathogen panel testing, and drug testing. These are payment methodology updates that will take effect April 24, 2026.
Action Required
Before April 24, 2026: Billing team must review updated clinical payment and coding policies CPCPLAB014, CPCPLAB027, CPCPLAB045, and CPCPLAB070 for any changes to payment rules and coding methodologies. Update billing procedures and staff training accordingly for prenatal screening, TB testing, pathogen panels, and drug testing services.
Plan Types
All Plans
States
TX
Specialties
laboratory, ob-gyn, family-medicine, internal-medicine, infectious-disease