LabCorp is Arizona’s only in-network provider for laboratory service. Please refer UnitedHealthcare Community Plan members to LabCorp to make sure claims are paid in a timely manner and to avoid claim rejections.
In Arizona, LabCorp is the only in-network laboratory service provider for:
Exceptions to laboratory service requirements
Out-of-network laboratory services are covered for:
Please note that LabCorp will cover laboratory:
POS codes and names covered under exception | |||
---|---|---|---|
POS code |
POS name |
POS code |
POS name |
19 |
Off-campus outpatient hospital |
41/42 |
Ambulance (any type) |
21 |
Inpatient hospital |
51/52 |
Inpatient psychiatric facility |
22 |
On-campus outpatient hospital |
54 |
Intermediate care facility |
23 |
Hospital emergency room |
55/56/57 |
All other psych/substance |
24 |
Ambulatory surgery center |
61/62 |
Comprehensive inpatient/outpatient rehab |
Network providers can bill the CPT/HCPCS codes listed in the following chart for these POS locations:
Allowed CPT/HCPCS codes POS 11, POS 20, POS 49, POS 50, POS 53, POS 54, POS 71/72 |
||||||
---|---|---|---|---|---|---|
81000 |
81002 |
81025 |
82270 |
84030 |
85013 |
85014 |
86490 |
86580 |
87210 |
87804 |
87880 |
89190 |
36415 |
36416 |
99000 |
P9612 |
Q0091 |
Q0111 |
Q0112 |
Q0113 |
Q0114 |
S3620 |
|
||||
Effective May 1, 2022 for Medicaid (Not D-SNP) |
||||||
80061 |
80305* |
82075* |
82247 |
83036 |
83655 |
87502 |
*Codes 80305 and 82075 will be billed and reimbursed when the service is considered Medication Assisted Treatment (MAT) related as outlined in the UnitedHealthcare Community Plan Physician Health Care Professional, Facility and Ancillary Provider Administrative Guide for Arizona state programs.
Questions?
Please call ACC/DD Provider Services at 800-445-1638 or ALTCS EPD Provider Services at 800-293-3740. To find the nearest LabCorp location, go to labcorp.com and search by address or ZIP code. Thank you.
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