https://www.premera.com/medicalpolicies/15.01.008.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.008 Lyme Disease Testing Ref. Policy: G2143 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: N/A ...
https://www.premera.com/medicalpolicies/15.01.009.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.009 Metabolite Markers of Thiopurines Testing Ref. Policy: G2115 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A ...
https://www.premera.com/medicalpolicies/15.01.019.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.019 General Inflammation Testing Ref. Policy: G2155 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...
https://www.premera.com/medicalpolicies/15.01.024.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.024 Folate Testing Ref. Policy: G2154 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: N/A Select a ...
https://www.premera.com/medicalpolicies/15.01.027.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.027 Human Immunodeficiency Virus (HIV) Ref. Policy: M2116 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED ...
https://www.premera.com/medicalpolicies/15.01.028.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.028 Salivary Hormone Testing Ref. Policy: G2120 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...
https://www.premera.com/medicalpolicies/15.01.031.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.031 Celiac Disease Testing Ref. Policy: G2043 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...
https://www.premera.com/medicalpolicies/15.01.032.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.032 Helicobacter pylori Testing Ref. Policy: G2044 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...
https://www.premera.com/medicalpolicies/15.01.037.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.037 Onychomycosis Testing Ref. Policy: M2172 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...
https://www.premera.com/medicalpolicies/15.01.041.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.041 Intracellular Micronutrient Analysis Ref. Policy: G2099 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: 2.04.73 ...
https://www.premera.com/medicalpolicies/15.01.042.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.042 Serum Tumor Markers for Malignancies Ref. Policy: G2124 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED ...
https://www.premera.com/medicalpolicies/15.01.045.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.045 Prostate Biopsy Specimen Analysis Ref. Policy: G2007 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED ...
https://www.premera.com/medicalpolicies/8.03.505.pdf#search=policy
POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | CODING RELATED INFORMATION | EVIDENCE ... section is for your general knowledge and is not to be taken as policy coverage criteria. ...
https://www.premera.com/medicalpolicies/7.01.180.pdf#search=policy
MEDICAL POLICY - 7.01.180 Balloon Spacers for Treatment of Irreparable Rotator Cuffs of the Shoulder BCBSA Ref. Policy: 7.01.180 Effective Date: Oct. 3, 2025 Last Revised: Jun. ...
https://www.premera.com/medicalpolicies/15.01.007.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.007 Evaluation of Dry Eyes Ref. Policy: G2138 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: N/A ...
https://www.premera.com/medicalpolicies/15.01.010.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.010 Immune Cell Function Assay Ref. Policy: G2098 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...
https://www.premera.com/medicalpolicies/15.01.011.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.011 Bone Turnover Markers Testing Ref. Policy: G2051 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...
https://www.premera.com/medicalpolicies/15.01.012.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.012 Fecal Calprotectin Testing in Adults Ref. Policy: G2061 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED ...
https://www.premera.com/medicalpolicies/15.01.018.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.018 Diagnostic Testing of Influenza Ref. Policy: G2119 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED ...
https://www.premera.com/medicalpolicies/15.01.022.pdf#search=policy
ROUTINE TEST MANAGEMENT POLICY - 15.01.022 Nerve Fiber Density Testing Ref. Policy: M2112 Effective Date: Feb. 6, 2026 Last Revised: Oct. 14, 2025 Replaces: N/A RELATED POLICIES: ...