Non-Covered PLA Codes (Diagnostic Benefit Program)
To support the PLA (Proprietary Laboratory Analysis) Code Coverage section of Concert’s Payment Policy, Concert maintains a list of PLA codes not covered by the Concert Medical Policies.
Concert PLA codes are published quarterly by the AMA and this list is updated accordingly. ‘
To download the list of codes, please complete the form to the right with your contact information. Once the ‘Submit’ button is clicked, a .csv file with the relevant codes will be downloaded automatically.
If you have any questions or issues, please reach out to help@concert.co.
Submit this form to download a CSV with the PLA codes
More about Concert
Concert (formerly NextGxDx) was founded in 2010 to bring transparency, efficiency, and value to the complex genetic testing market. Since then, the company has grown to offer the definitive payment accuracy platform for precision health services, including genetic testing, infectious disease, and other diagnostics.
Today, Concert combines proprietary data on the U.S. clinical laboratory testing market, market-leading clinical and coding expertise, and advanced technology to support test ordering, resulting, coding, coverage, claim editing, and payment integrity.
Health plans, health systems, laboratories, and an extensive network of partner organizations trust Concert to provide the content, technology, and integration capabilities to deliver precision health data integration and payment accuracy directly into the systems of record, ultimately enabling consumers cost-effective access to the latest in precision care.