Procedure codes 80048-80090 represent organ or disease oriented panels. These panels combine certain laboratory tests under a specific problem-oriented classification. When performed for asymptomatic patients, organ or disease oriented panels are considered screening and are only covered by certain groups or programs as indicated in benefits. A participating, preferred, or network provider may bill the member for the denied panel.

Many of the disease-oriented panel tests on the Table Attachment below are covered. The component tests for each covered panel are listed. These are the minimum tests that must be performed before a disease-oriented panel code can be reported.

If less than the minimum tests are performed, payment should be made for the individual tests.

Coverage for routine screening tests is determined according to individual or group customer benefits.

See Medical Policy Bulletin L-29 for information regarding evocative/suppression testing panels.

This medical policy may not apply to FEP.  Medical policy is not an authorization, certification, explanation of benefits or a contract.  Benefits are determined by the Federal Employee Program.

ORGAN OR DISEASE ORIENTED PANELS