Proprietary Laboratory Analyses (PLA) Codes

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Date: February 26, 2021
To: Health Plan of San Joaquin (HPSJ) All Providers & Facilities
From: HPSJ Claims Department
Subject: Proprietary Laboratory Analyses (PLA) Codes
Business: Medi-Cal Managed Care

In an ongoing effort to keep our Providers informed of upcoming changes, HPSJ would like to take this opportunity to provide an update regarding PLA codes.

In accordance with DHCS, the implementation of PLA codes was completed on 1/25/21. DHCS is expected to update provider manual sections with additional billing instructions, including pricing (not currently available), in February 2021 Medi-Cal Update. Once HPSJ obtains this information, we will inform Providers through an updated Provider Alert.

If you have questions in the interim, please contact our Customer Service Department at 209-942-6320.

Posted on March 1st, 2021 and last modified on September 8th, 2022.

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