News and Stories

September 27, 2023

The Basics of Cholesterol: Understanding its Role in Your Health

Almost 2 in 5 adults have high cholesterol, which puts them at risk for serious health conditions like heart disease and stroke¹.

 
 
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September 12, 2023

Lab Tests for Healthy Aging

Curious about staying youthful? The secret is a healthy lifestyle. It is never too late to get started!

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September 01, 2023

Celebrating Compassion and Collaboration: HNL Lab Medicine and NCC’s Back-to-School Pantry Drive

In a heartwarming display of unity and generosity, HNL Lab Medicine is thrilled to share the exciting news of its partnership with Northampton Community College (NCC) for a remarkable Back-to-School Pantry Drive.

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August 28, 2023

Martin K. Till Featured on Health Care Power List

Martin K. Till, President and CEO of HNL Lab Medicine, has been named a top leader on Lehigh Valley Business’ Health Care Power List.  

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August 16, 2023

Why Blood Tests Are Important for Children: Top Tests Explained

Blood tests are diagnostic tools that help pediatricians assess your child’s health. 

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Healthcare Professionals

Coding and Insurance Reporting Guidelines

COVID-19 ICD 10 Coding and Insurance Reporting Guidelines 2022

Based on current COVID-19 trends, the Department of Health and Human Services (HHS) is planning for the federal Public Health Emergency (PHE) for COVID-19, declared under Section 319 of the Public Health Service (PHS) Act, to expire at the end of the day on May 11, 2023
 


2022 ICD-10-CM Code Update Announced
2022 ICD-10-CM code updates were made publicly available by the Center for Disease Control and Prevention (CDC) on Dec. 1, 2021. Diagnosis codes of interest to laboratory and pathology practices includes the addition of three new codes for documenting immunization status effective for dates of service on or after April 1, 2022:
 
  • Z28.310-Unvaccinated for COVID-19 (Use this code when the patient has not received at least one dose of any COVID-19 vaccine. Effective for dates of service on or after April 1, 2022.)
     
  • Z28.311-Partially vaccinated for COVID-19 (Use this code when the patient has received at least one dose of a multi-dose COVID-19 vaccine regimen but has not received the full set of doses necessary to meet the CDC definition of “fully vaccinated” in place at the time of encounter. Effective for dates of service on or after April 1, 2022.)
     
  • Z28.39-Other under immunization status (Use this code for delinquent or lapsed immunization status. Effective for dates of service on or after April 1, 2022.)
COVID-19 Testing for Uninsured Patients (Cares Act Guidelines)

Professional and Facility Providers

 
  • COVID Screening Tests (Z11.52 and Z11.59)
    As a reminder, during the national Public Health Emergency (PHE) and consistent with the Centers for Disease Control and Prevention (CDC) guidelines, Capital Blue Cross health plans will cover the cost of a COVID-19 diagnostic test without applying member cost share (such as deductibles, copays, and coinsurance) if performed as a result of an individualized clinical assessment, such as a test ordered by a provider or when a provider refers the member for a test. However, Capital will not provide coverage of testing for public health surveillance or employment purposes.

    Effective July 1, 2022, claims submitted with a COVID testing procedure code with a diagnosis code indicative of encounter for screening for other viral diseases (Z11.52 and Z11.59) will deny as not covered.

    Administrative Notice AN2022-06-002 (capbluecross.com)