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Lab
Access these helpful resources for more information about laboratory services.
CMS Clinical Labs Center
CMS Clinical Lab Fee Schedules
CMS Guidance and Rules for Clinical Laboratory Services
: (PDF, 440 KB) CMS Medicare Claims Processing Manual (Pub. 100-04), Chapter 16
CMS Medicare Benefit Policy Manual (Pub. 100-02), Chapter 15, Section 80.1
(PDF, 2.1 MB)
CMS National Coverage Determinations for Laboratory Services
Clinical Laboratory Improvement Amendments (CLIA) Resources:
List of Waived and PPMP Tests
Main CMS CLIA Web page
Lab
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2010
11/10/2009
Instructions for Processing Claims Containing Anti-Markup Services but with Partial Information Completed in Item 20 of the CMS-1500 Claim Form
11/10/2009
Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier
11/04/2009
New Waived Tests
08/26/2009
Clinical Laboratory Fee Schedule: Medicare Travel Allowance Fees for Collection of Specimens
08/20/2009
Laboratory National Coverage Determination (NCD) Edit Software Changes: October 2009
07/23/2009
Independent Clinical Laboratories & Clarification of Signature Issues on Requisitions
05/05/2009
Laboratory Services: Medicare Guidance
03/23/2009
Claims Processing Instructions for Diagnostic Tests Subject to the Anti-Markup Pricing Limitation
03/04/2009
Reporting the National Provider Identifier (NPI) on Claims for Reference Laboratory and Purchased Diagnostic Services Performed Outside the Billing Jurisdiction
03/04/2009
Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
02/26/2009
Physician Signature Requirements for Diagnostic Tests
02/09/2009
Screening Pap Smears: High Risk vs. Low Risk
01/01/2009
Laboratory National Coverage Determination (NCD) Edit Software for October 2008
11/04/2008
Bundling of Laboratory Tests: Thyroid and Cholesterol
09/30/2008
Clinical Laboratory Tests: National Coverage Determinations
09/30/2008
High Sensitivity C-Reactive Protein Testing: Not Covered
09/30/2008
Physician Office Laboratories & the Clinical Laboratory Improvement Amendments (CLIA)
09/30/2008
Laboratory Services: Hospice Denials
09/29/2008
Clinical Laboratory Fee Schedule: Medicare Travel Allowance Fees for Collection of Specimens
09/12/2008
Medicare Improvements for Patients and Providers Act of 2008: Legislative Change to Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services
07/31/2008
Laboratory Competitive Bidding Demonstration
06/11/2008
Date of Service (DOS) for Clinical Laboratory and Pathology Specimens
06/03/2008
last updated on 11/10/2009