All PlansBilling CodesMedium impact
Clinical Payment and Coding Policy Updates
BCBS New Mexico·NM · OB-GYN, Infectious Disease, Family Medicine +1 more·Medical Policy
Effective date
Apr 24, 2026
We identified it
Jun 18, 2026
Summary
Five clinical payment and coding policies have been updated covering prenatal screening, tuberculosis testing, pathogen panel testing, STI diagnostic testing, and prescription/illicit drug testing. These policy updates will take effect on April 24, 2026.
Action Required
Before April 24, 2026: Billing team must review the updated policies CPCPLAB014, CPCPLAB027, CPCPLAB045, CPCPLAB051, and CPCPLAB070 for any changes to coding guidelines, coverage criteria, or documentation requirements. Update billing system rules and encounter forms as needed based on the specific policy changes for prenatal screening, TB testing, pathogen panels, STI testing, and drug testing procedures.