The information on this site is provided by CodeMapĀ©. For any questions, please contact Dr. Charles Root at charlesroot@codemap.com

This website is a private website and is not associated, endorsed or authorized by the Department of Health and Human Services, the Center for Medicare and Medicaid Services or any other public or government organization or agency.

National
2017 Laboratory Fee Schedule

Effective April 1, 2013 and while sequestration is in effect, all CMS payments for services will be reduced by 2%.
The fees below do not reflect this reduction. Click here for more information.



Disclaimer How To Use This Web Site Advance Beneficiary Notices Frequently Asked Questions
Index:

  • Blood Gases
  • Chemistry
  • Coagulation
  • Cardiac Markers
  • Pregnancy
  • Piccolo-Tests Performed by Waived Laboratories
  • Piccolo-Tests Performed by CLIA Moderate Complexity Laboratories

  • How to use this website:

    1. Choose your state

    Until you choose a state, the Medicare National Limitation Amount (the maximum amount Medicare will pay in any state) is shown.

    2. Choose the iSTAT cartridge you are using

    The appropriate CPT codes and Medicare reimbursement for the cartridge is shown. Payment amounts for automated tests are shown as a single total reimbursement.

    See FAQs for detailed explanation of automated test reimbursement)

    3. The existence of a National Coverage Determination (NCD) for a test is indicated by NCD after the test name.

    Click on NCD to show the diagnosis (ICD-9) codes covered by Medicare for this test.

    Any diagnosis NOT on this list will be denied by Medicare.

    4. The existence of a Local Coverage Determination (LCD) effective in the state you chose in step 1 is indicated by LCD after the test name.

    Click on LCD to show the diagnosis (ICD-9) codes covered by Medicare for this test.

    Any diagnosis NOT on this list will be denied by Medicare.

    5. The existence of a Correct Coding Initiative (CCI) edit is indicated by CCI after the test name.

    Click on CCI to show the CPT codes that will be denied when submitted with this test.


    The information contained in this website has been compiled by CodeMap, L.L.C. to assist Abbott Point of Care customers in preparing and submitting claims to Medicare and CodeMap, L.L.C. remains solely responsible for its content. The information provided is for general educational purposes only and may not be conclusive or exhaustive. Recent changes in applicable law, regulations and interpretations may not be reflected in the information contained herein.

    Abbott Point of Care assumes no responsibility for omissions or errors contained in this website. Abbott Point of Care does not guarantee that the use of any information provided herein will result in coverage or payment by Medicare at any particular level. Many factors affect Medicare reimbursement, not all of which may be described in the information provided. Website users are encouraged to seek individual legal and/or billing guidance. IN PROVIDING THIS WEBSITE, ABBOTT POINT OF CARE MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, INCLUDING, BUT NOT LIMITED TO, WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND/OR NON-INFRINGEMENT.

    Abbott Point of Care is not responsible for any actions taken by website users in billing Medicare for Abbott Point of Care products, equipment or devices, including but not limited to, any billing and/or coding errors. Website users rely on the information contained in this website at their own risk.

    This website is a private website and is not associated, endorsed or authorized by the Department of Health and Human Services, the Center for Medicare and Medicaid Services or any other public or government organization or agency.