Library: Policy
317:30-5-101. Coverage for adults
Revised 5-11-00
Payment is made to certified laboratories for medically necessary services to adults as set forth in this Section.
- (1) Inpatient services.
- (A) Claims for inpatient anatomical pathology must be billed by the individual pathologist performing the examination.
- (B) Inpatient consultations by Pathologists are compensable. Claim form must include referring physician, diagnosis, and test(s) for which the consultation was requested.
- (2) Outpatient services. Payment is made for medically necessary outpatient services:
