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National
2019 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
  • Tests Performed by Waived Labs Index:
  • 07P0208 Comprehensive Metabolic Panel (Waived)
  • 07P02-04 Basic Metabolic Panel (Waived)
  • 07P0205 Lipid Panel (Waived)
  • 07P0212 Lipid Panel Plus (Waived)
  • 07P0210 Liver Panel Plus (Waived)
  • 07P02-02 Electrolyte Panel (Waived)
  • Comprehensive Metabolic Panel / Lipid Panel (Waived)
  • 07P02-11 General Chemistry 13 (Waived)
  • 07P02-01 General Chemistry 6 (Waived)
  • 07P02-09 Kidney Check (Waived)
  • 07P02-07 Renal Panel (Waived)
  • 07P02-03 Metlyte 8 Panel (Waived)
  • Draw Fee
  • Abbott Part # 07P0208 Comprehensive Metabolic Panel (Waived)
    Tests Performed
    Albumin CCI  
    Alkaline Phosphatase CCI  
    ALT CCI  
    AST CCI  
    BUN CCI  
    Total Calcium CCI  
    Chloride CCI  
    Creatinine CCI  
    Glucose CCI   NCD
    Potassium CCI  
    Sodium CCI  
    Total bilirubin CCI  
    Carbon dioxide CCI  
    Total protein CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Comprehensive Metabolic Panel
    80053-QW
    CCI  
    $11.74
    N/A


    Abbott Part # 07P02-04 Basic Metabolic Panel (Waived)
    Tests Performed
    Total Calcium CCI  
    Chloride CCI  
    Creatinine CCI  
    Glucose CCI   NCD
    Potassium CCI  
    Sodium CCI  
    Carbon dioxide CCI  
    BUN CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Basic Metabolic Panel
    80048-QW
    CCI  
    $9.40
    N/A

    Abbott Part # 07P0205 Lipid Panel (Waived)
    Tests Performed
    Total Cholesterol CCI   NCD
    HDL Cholesterol CCI   NCD
    Triglycerides CCI   NCD
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Lipid Panel
    80061-QW
    CCI   NCD
    $14.88
    N/A

    Abbott Part # 07P0212 Lipid Panel Plus (Waived)
    Tests Performed
    Total Cholesterol CCI   NCD
    HDL Cholesterol CCI   NCD
    Triglycerides CCI   NCD
    Glucose CCI   NCD
    ALT CCI  
    AST CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Lipid Panel
    80061-QW
    CCI   NCD
    $14.88
    N/A
    Glucose
    82947-QW
    CCI   NCD
    $4.37
    N/A
    ALT
    84460-QW
    CCI  
    $5.89
    N/A
    AST
    84450-QW
    CCI  
    $5.75
    N/A
    If all tests are ordered, performed, and reported.
    $30.89
    N/A

    Abbott Part # 07P0210 Liver Panel Plus (Waived)
    Tests Performed
    Albumin CCI  
    Alkaline Phosphatase CCI  
    ALT CCI  
    AST CCI  
    Amylase CCI  
    GGT CCI   NCD
    Total bilirubin CCI  
    Total protein CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Albumin
    82040-QW
    CCI  
    $5.50
    N/A
    Alkaline phosphatase
    84075-QW
    CCI  
    $5.75
    N/A
    ALT
    84460-QW
    CCI  
    $5.89
    N/A
    AST
    84450-QW
    CCI  
    $5.75
    N/A
    Amylase
    82150-QW
    CCI  
    $7.20
    N/A
    GGT
    82977-QW
    CCI   NCD
    $8.00
    N/A
    Total bilirubin
    82247-QW
    CCI  
    $5.57
    N/A
    Total protein
    84155-QW
    CCI  
    $4.07
    N/A
    If all tests are ordered, performed, and reported.
    $47.73
    N/A

    Abbott Part # 07P02-02 Electrolyte Panel (Waived)
    Tests Performed
    Carbon dioxide CCI  
    Chloride CCI  
    Potassium CCI  
    Sodium CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Electrolyte Panel
    80051-QW
    CCI  
    $7.79
    N/A

    Comprehensive Metabolic Panel / Lipid Panel (Waived)
    Tests Performed
    Albumin CCI  
    Alkaline Phosphatase CCI  
    ALT CCI  
    AST CCI  
    BUN CCI  
    Total Calcium CCI  
    Chloride CCI  
    Creatinine CCI  
    Glucose CCI   NCD
    Potassium CCI  
    Sodium CCI  
    Total bilirubin CCI  
    Carbon dioxide CCI  
    Total protein CCI  
    Total Cholesterol CCI   NCD
    HDL Cholesterol CCI   NCD
    Triglycerides CCI   NCD
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Comprehensive Metabolic Panel
    80053-QW
    CCI  
    $11.74
    N/A
    Lipid Panel
    80061-QW
    CCI   NCD
    $14.88
    N/A
    If all tests are ordered, performed, and reported.
    $26.62
    N/A

    Abbott Part # 07P02-11 General Chemistry 13 (Waived)
    Tests Performed
    Albumin CCI  
    Alkaline Phosphatase CCI  
    Amylase CCI  
    ALT CCI  
    AST CCI  
    BUN CCI  
    Total Calcium CCI  
    Creatinine CCI  
    Glucose CCI   NCD
    Total bilirubin CCI  
    Total protein CCI  
    GGT CCI   NCD
    Uric Acid CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Albumin
    82040-QW
    CCI  
    $5.50
    N/A
    Alkaline phosphatase
    84075-QW
    CCI  
    $5.75
    N/A
    Amylase
    82150-QW
    CCI  
    $7.20
    N/A
    ALT
    84460-QW
    CCI  
    $5.89
    N/A
    AST
    84450-QW
    CCI  
    $5.75
    N/A
    BUN
    84520-QW
    CCI  
    $4.39
    N/A
    Total Calcium
    82310-QW
    CCI  
    $5.73
    N/A
    Creatinine
    82565-QW
    CCI  
    $5.69
    N/A
    Glucose
    82947-QW
    CCI   NCD
    $4.37
    N/A
    Total Bilirubin
    82247-QW
    CCI  
    $5.57
    N/A
    Total protein
    84155-QW
    CCI  
    $4.07
    N/A
    GGT
    82977-QW
    CCI   NCD
    $8.00
    N/A
    Uric Acid
    84550-QW
    CCI  
    $5.02
    N/A
    If all tests are ordered, performed, and reported.
    $72.93
    N/A

    Abbott Part # 07P02-01 General Chemistry 6 (Waived)
    Tests Performed
    ALT CCI  
    AST CCI  
    BUN CCI  
    Creatinine CCI  
    GGT CCI   NCD
    Glucose CCI   NCD
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    ALT
    84460-QW
    CCI  
    $5.89
    N/A
    AST
    84450-QW
    CCI  
    $5.75
    N/A
    BUN
    84520-QW
    CCI  
    $4.39
    N/A
    Creatinine
    82565-QW
    CCI  
    $5.69
    N/A
    GGT
    82977-QW
    CCI   NCD
    $8.00
    N/A
    Glucose
    82947-QW
    CCI   NCD
    $4.37
    N/A
    If all tests are ordered, performed, and reported.
    $34.09
    N/A

    Abbott Part # 07P02-09 Kidney Check (Waived)
    Tests Performed
    BUN CCI  
    Creatinine CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    BUN
    84520-QW
    CCI  
    $4.39
    N/A
    Creatinine
    82565-QW
    CCI  
    $5.69
    N/A
    If all tests are ordered, performed, and reported.
    $10.08
    N/A

    Abbott Part # 07P02-07 Renal Panel (Waived)
    Tests Performed
    Albumin CCI  
    Total Calcium CCI  
    Carbon dioxide CCI  
    Chloride CCI  
    Creatinine CCI  
    Glucose CCI   NCD
    Phosphorus CCI  
    Potassium CCI  
    Sodium CCI  
    BUN CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Renal Function Panel
    80069-QW
    CCI  
    $9.65
    N/A

    Abbott Part # 07P02-03 Metlyte 8 Panel (Waived)
    Tests Performed
    BUN CCI  
    Creatinine CCI  
    CK CCI  
    Glucose CCI   NCD
    Potassium CCI  
    Sodium CCI  
    Chloride CCI  
    Carbon Dioxide CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Electrolyte Panel
    80051-QW
    CCI  
    $7.79
    N/A
    BUN
    84520-QW
    CCI  
    $4.39
    N/A
    Creatinine
    82565-QW
    CCI  
    $5.69
    N/A
    CK
    82550-QW
    CCI  
    $7.23
    N/A
    Glucose
    82947-QW
    CCI   NCD
    $4.37
    N/A
    If all tests are ordered, performed, and reported.
    $29.47
    N/A

    Draw Fee
    Tests Performed
    Routine Venipuncture CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Routine Venipuncture
    36415
    CCI  
    $3.00
    N/A

    This information is compiled and maintained by CodeMap®. The Medicare and Medicaid information provided on this website is obtained from publicly available sources, and is subject to change without notice. All content on this website is for informational purposes only, is general in nature, and does not cover all situations or all payers' rules and policies. As such, CodeMap cannot guarantee or promise the Medicare and Medicaid information provided on this site always accurately reflects actual payer payment and/or actions.