Clinical Guidelines

Laboratory Management

Please note:

Adobe PDF Reader is required to view clinical guideline documents.

There may be instances in which your health plan policies take precedence over the eviCore healthcare clinical guidelines. If you have any questions, please reach out to your health plan.

Follow the below steps to access the clinical guidelines.

If you require a copy of the guidelines that were used to make a determination on a specific request of treatment or services, please email the case number and request to: reqcriteria@eviCore.com.

To request any additional assistance in accessing the guidelines, provide feedback or clinical evidence related to the evidence-based guidelines, please click here.

Code Lists


Test Specific

Supporting Documentation