New Laboratory Utilization Policies

Select Health is incorporating new guidelines related to coverage of laboratory services, replacing those previously offered from Avalon. The policies containing these new guidelines will be effective November 1, 2025, and have been available for preview and evaluation on the Select Health website since October 1, 2025. We encourage providers to become familiar with these new policies.

Policies included in this booklet are: 

• Infectious Disease Testing: Gastroenterology SH/LAB-A1 
• Infectious Disease Testing: Genitourinary SH/LAB-A2 
• Infectious Disease Testing: Multisystem SH/LAB-A3 
• Infectious Disease Testing: Respiratory SH/LAB-A4 
• Infectious Disease Testing: Screening and Prevention SH/LAB-A5 
• Infectious Disease Testing: Vector-Borne SH/LAB-A6
• Specialty Testing: Endocrinology SH/LAB-A7
• Specialty Testing: Nutrition and Metabolism SH/LAB-A8 
• Specialty Testing: Toxicology SH/LAB-A9 

We understand that there have been challenges with using the current policies and believe that the new method for laboratory utilization will be an enhancement. 

Questions? Contact your Provider Relations representative.