CodeMap® 
150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2023
2022

Physician Fee Schedule

2023
2022

OPPS Fee Schedule

2023-January
2022-October

ASC Fee Schedule

2023-January
2022-October

APC Codes

2023-January
2022-October

DRG Codes

2023
2022

ASP Drug Pricing Files

January 2023
October 2022


CMS Transmittals



In Memoriam: Gregory B. Root


Editor's Welcome

This week we will review coding and payment policy for CLIA waived tests. Also, please note that CMS has corrected the travel allowance to collect specimens (HCPCS codes P9612 and P9615) from the previously stated $0.835/mile and $8.35 per one way trip to $0.825 and $8.25 respectively. As always, feel free to send us questions or suggestions for future Compliance Briefings.

Sincerely,

Charles Root, Ph.D.

Medicare Reimbursement for CLIA Waived Tests

All laboratories must have one of the following CLIA certificates to legally perform clinical laboratory testing on specimens obtained from individuals in the United States.

Certificate of Waiver
Certificate for Provider Performed Microscopy (PPM) Procedures,
Certificate of Registration,
Certificate of Compliance, or
Certificate of Accreditation

Medicare edits all laboratory claims to ensure the provider submitting the claim has an appropriate CLIA certificate. A CLIA certificate number must be included on each laboratory claim.  Laboratories with a certific....

Sorry, the full document you are trying to access requires an active subscription.

Please login to the left.


Click here for publications catalog.

--

CodeMap┬« is a Registered Trademark of Wheaton Partners, LLC.