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Commercial Coverage and Coding Guides

Commercial health plans publish limited coverage policies (LCPs) for certain laboratory tests. Tests subject to a commercial LCP must meet medical necessity criteria in order to be covered by the plan.

When submitting lab orders for a test included in commercial payer policies, please ensure that all ICD-10 codes provided represent the signs, symptoms, or conditions that prompted the request. If the indications and limitations of the payer's policy are not met, your patient may be responsible for payment.

Understand coverage policies and help limit disruptions in your practice

Navigating the complexities of commercial coverage policies can be complicated, but Quest Diagnostics is here to help. Our Commercial Coverage and Coding Reference Guides can help you understand coverage limitations, and which ICD-10 codes are most frequently ordered by physicians. Understanding these coverage limitations may help prevent administrative disruptions to your practice.

To get started, choose a health plan below.

aetna®

Cigna®

EmblemHealth®

UnitedHealthcare®

Got questions? We can help.

Download our commercial LCP brochure
 
Contact a Quest representative at 1.866.MYQUEST (1.866.697.8378)

Individual plans may vary. For the most accurate coverage policy for each patient, please contact the patient’s health plan. To view a complete coverage policy, click on the health plan name and download the policy under the "Want more information?" section.