I'm a member
You will be redirected to myBlue. Would you like to continue?
Please wait while you are redirected.
Printer Friendly Version
DESCRIPTIONGeneral health panel is set of laboratory tests consisting of a comprehensive metabolic panel, complete blood count (CBC), and thyroid stimulating hormone (TSH).
POLICYGeneral health panel is considered a not medically necessary procedure.
POLICY GUIDELINESThe coverage guidelines outlined in this Medical Policy should not be used in lieu of the Member's specific benefit plan language.
POLICY HISTORY7/16/2009: Approved by Medical Policy Advisory Committee (MPAC)
11/24/2009: Policy Statement Section revised, replaced non-covered verbiage with "not medically necessary"
12/28/2009: Policy Guidelines section was revised to remove definition of an investigative service.
SOURCESCenters for Medicare & Medicaid Services (CMS)
CODE REFERENCEAll codes billed are considered non-covered and not eligible for coverage.