June 01, 2022

Refer your patients to LabCorp to ensure coverage of services

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:

  • Arizona Health Care Cost Containment System AHCCCS Complete Care (ACC)
  • Developmental Disabilities (DD)
  • Arizona Long-Term Care Elderly Physical Disabilities (ALTCS EPD)
  • Medicare Dual Special Needs Plan (D-SNP) members

Exceptions to laboratory service requirements
Out-of-network laboratory services are covered for:

  • Place of service (POS) codes 19; 21; 22; 23; 24; 41/42; 51/52; 54; 55/56/57; 61/62
  • Emergent laboratory services coupled with a same-day procedure

Please note that LabCorp will cover laboratory:

  • Current Procedural Terminology (CPT®) codes 80000-89999
  • Healthcare Common Procedure Coding System (HCPCS) codes that are covered by Medicare or AHCCCS
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:

  • POS 11 (office)
  • POS 20 (urgent care)
  • POS 49 (independent clinic)
  • POS 50 (Federally Qualified Health Center)
  • POS 53 (mental health clinic)
  • POS 54 (intermediate care facility)
  • POS 71/72 (rural health clinic)
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.

CPT® is a registered trademark of the American Medical Association.

PCA-1-22-01496-005102022