CSHCN Services Program 2010 > Laboratory Services > Benefits, Limitations, and Authorization Requirements

24.2.9.1 Organ or Disease Panels

The panels listed below include those components delineated in CPT and are those panels that may be reimbursed by the CSHCN Services Program. To bill the panel code, all the laboratory tests must be included.

The organ or disease panels are specific laboratory tests that may be reimbursed by the CSHCN Services Program have distinct procedures codes that are further detailed in the table below and include the following:

Do not report 80047 in conjunction with 80053.

Individual laboratory tests considered part of a specific panel will be denied when billed with a panel code on the same day by the same provider. Either modifier 76 or 91 or additional times must be indicated on the claim if a panel code or an individual component of a panel code is billed more than one time per day. Additional times may also be included on accompanying documentation. No distinction is made between the method of testing, whether manual or automated; the test must be billed as a panel. If tests in addition to those specifically indicated for a particular panel are performed, those tests should be reported separately in addition to the panel code.