Jan. 27, 2026
Clinical payment and coding policies describe payment rules and methodologies for Current Procedural Terminology (CPT®) codes, Healthcare Common Procedure Coding System and ICD-10 coding for claims submitted as covered services. These policies are not intended to address all coding or reimbursement related issues. We regularly add and modify clinical payment and coding policy positions as part of our ongoing policy review process.
The following policies were updated:
- CPCPLAB014 Prenatal Screening, effective April 24, 2026
- CPCPLAB027 Testing for Diagnosis of Active or Latent Tuberculosis, effective April 24, 2026
- CPCPLAB045 Pathogen Panel Testing, effective April 24, 2026
- CPCPLAB051 Diagnostic Testing of Common STIs, effective April 24, 2026
- CPCPLAB070 Prescription Medication and Illicit Drug Testing, effective April 24, 2026
CPT copyright 2025 American Medical Association. All rights reserved. CPT is a registered trademark of the AMA.
Clinical payment and coding policies are based on using healthcare professionals and industry standard guidelines. The clinical payment and coding guidelines are not intended to provide billing or coding advice but to serve as a reference for facilities and providers.