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Medical Policy Update: Testing Serum Vitamin D Levels

Effective October 29, 2019, Horizon BCBSNJ will change the way we consider certain claims based on an update to our medical policy, Testing Serum Vitamin D Levels.

Access our Medical Policy Manual to review this medical policy content.¹


Claims submitted for services provided on and after October 29, 2019 to patients enrolled in Horizon BCBSNJ Medicare Advantage (MA) plans will be processed as follows.

  • Based on the submitted diagnosis code(s), the services represented by CPT® codes 82306 may be denied as not medically necessary.

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been canceled or postponed, the changes will be applied to claims for dates of service on and after October 29, 2019.

¹ The content of Horizon BCBSNJ medical policies that apply to Horizon BCBSNJMA plans may include reference to pertinent National Coverage Determinations (NCDs) and/or Local Coverage Determinations (LCDs). We follow Centers for Medicare & Medicaid Services (CMS) guidelines, NCDs and/or LCDs in our processing of claims for services provided to our MA members. For those services where no LCD or NCD exists, claims for MA members will be processed based on our policy guidelines.

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

Published on: September 25, 2019, 09:22 AM ET
Last updated on: September 24, 2019, 09:27 AM ET