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LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2026
2025
QW Tests

Physician Fee Schedule

2026
2026-QP
2025

OPPS Fee Schedule

2025-October
2025-July

ASC Fee Schedule

2025-October
2025-July

APC Codes

2025-October
2025-July

DRG Codes

2025
2024

ASP Drug Pricing Files

2026-January
2025-October


CMS Transmittals



IMPORTANT NOTICE: CMS is late in posting the following updates for 1/1/26: OPPS, APC, DRG.
We will update this site as soon as files are posted.


Free Webinar: The Outlook for Medicare CLFS Rates


CodeMap® Compliance Briefing: February 13, 2020


Editor's Welcome:

It is common knowledge that Medicare Part B pays for specimen collection services. However, not everyone understands that Medicare Part B also reimburses for travel expenses associated with medically necessary specimen collection. Today, we will discuss how Medicare covers the costs for a laboratory technician to draw a specimen from either a nursing home patient or homebound patient. These reimbursement amounts are included in the Clinical Laboratory Fee Schedule (CLFS) and updated annually. As always, please forward your questions, comments, and suggestions via email. 

Since....

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