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Claims editing

Laboratory panel and component billing

How component laboratory tests billed alongside the panel that contains them are adjudicated.

Current version
v5.0
in force since 2025-10-01 · as at 2026-04-02
Versions on file
2
back to 2024-01-01
Applies to
All lines of business
All states
Cited in this batch
3
claims tested against it

Where this sits

OwnerClaims Editing Governance
Lines of businessAll lines of business
StatesAll states
External basisCMS NCCI procedure-to-procedure edits · CPT organ and disease panel definitions

Version history

Newest first

A claim is tested against the version that was in force on its date of service. For a service last autumn, that is not the version at the top of this list.

v5.0 2025-10-01 → current In force now
The NCCI procedure-to-procedure file is now consumed quarterly and applied at its published effective date, rather than being restated in this policy.
No source document in the index. A finding on this version can cite it by name but cannot quote a passage.
  • A component test bundled into a panel by an NCCI column 1 / column 2 pair is not separately payable.
  • A modifier indicator of 1 allows the bundle to be broken with an appropriate modifier; an indicator of 0 does not.
  • The component, not the panel, is the recoverable line.
v4.4 2024-01-01 → 2025-09-30 Superseded
Panel bundling enumerated in an appendix to this policy, refreshed annually.
No source document in the index. A finding on this version can cite it by name but cannot quote a passage.
  • A component test listed in Appendix B as part of a billed panel is not separately payable.

Claims in this batch tested against this policy

3 of 25
ClaimDate of serviceVersion applied RolePaidAt risk
CLM-0000009 18 Mar 2026 v5.0 Decisive $14.49 $3.93
CLM-0000007 06 Mar 2026 v5.0 Supporting $7.77
CLM-0000011 16 Mar 2026 v5.0 Supporting $10.56

This policy is synthetic — an internal document written for this demo. The external basis it cites is real.