Topics Related to Laboratory and Radiology Providers
Recent court rulings now require the North Carolina Department of Health and Human Services to reverse provider rate reductions and restore rates to their Sept. 30, 2025, levels.
Effective May 1, 2025, NC Medicaid will provide coverage for CPT Code 0421U – ColoSense, a multi-target stool RNA-based colorectal cancer screening test.
Providers should be aware of recent changes for Skilled Nursing Facilities, Hospice Organizations, and Portable X-ray Suppliers taxonomies.
Independent laboratories shall bill services to the hospital for whom they are providing clinical lab services. Hospitals should bill the PHPs.