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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
  • Tests Performed by
    CLIA Moderate Complexity Laboratories:

  • 07P0216 MetLac 12 Panel
  • 07P0208 Comprehensive Metabolic Panel
  • 07P02-04 Basic Metabolic Panel
  • 07P0205 Lipid Panel
  • 07P0212 Lipid Panel Plus
  • 07P0206 Hepatic Panel
  • 07P0210 Liver Panel Plus
  • 07P02-07 Renal Panel
  • 07P02-02 Electrolyte Panel
  • 07P02-03 Metlyte 8 Panel
  • 07P02-14 Metlyte Plus CRP
  • 07P02-13 Basic Metabolic Panel Plus
  • Comprehensive Metabolic Panel / Lipid Panel
  • 07P02-11 General Chemistry 13
  • 07P02-15 Biochemistry Panel Plus
  • General Chemistry 12
  • 07P02-01 General Chemistry 6
  • 07P02-09 Kidney Check
  • Draw Fee
  • MODERATE COMPLEXITY LABS:

    Abbott Part # 07P02-16 MetLac 12 Panel
    Tests Performed
    Albumin
    BUN
    Total Calcium CCI  
    Chloride
    Creatinine
    Glucose CCI   NCD
    Lactate
    Magnesium
    Phosphorus, inorganic (phosphate)
    Potassium
    Sodium
    TCO2
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Albumin
    82040
    BUN
    84520
    Total Calcium
    82310
    CCI  
    Chloride
    82435
    Creatinine
    82565
    Glucose
    82947
    CCI   NCD
    Lactate
    83605
    Magnesium
    83735
    Phosphorus, inorganic (phosphate)
    84100
    Potassium
    84132
    Sodium
    84295
    TCO2
    82374
    Paid as Magnesium,
    plus Lactate,
    plus 10 automated tests
    $9.19
    + $14.65
    + $11.91
    = $ 35.75


    Abbott Part # 07P0208 Comprehensive Metabolic Panel
    Tests Performed
    Albumin
    Alkaline Phosphatase
    ALT
    AST
    BUN
    Total Calcium CCI  
    Chloride
    Creatinine
    Glucose CCI   NCD
    Potassium
    Sodium
    Total bilirubin
    Carbon dioxide
    Total protein CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Comprehensive Metabolic Panel
    80053
    CCI  
    $14.49

    Abbott Part # 07P02-04 Basic Metabolic Panel
    Tests Performed
    Total Calcium CCI  
    Chloride
    Creatinine
    Glucose CCI   NCD
    Potassium
    Sodium
    Carbon dioxide
    BUN
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Basic Metabolic Panel
    80048
    CCI  
    $11.60

    Abbott Part # 07P0205 Lipid Panel
    Tests Performed
    Total Cholesterol CCI   NCD
    HDL Cholesterol CCI   NCD
    Triglycerides CCI   NCD
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Lipid Panel
    80061
    CCI   NCD
    $0.00

    Abbott Part # 07P0212 Lipid Panel Plus
    Tests Performed
    Total Cholesterol CCI   NCD
    HDL Cholesterol CCI   NCD
    Triglycerides CCI   NCD
    Glucose CCI   NCD
    ALT
    AST
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Lipid Panel
    80061
    CCI   NCD
    Glucose
    82947
    CCI   NCD
    ALT
    84460
    AST
    84450
    Paid as HDL,
    plus 5 automated tests
    $11.24
    + $10.73
    = $ 21.97

    Abbott Part # 07P0206 Hepatic Panel
    Tests Performed
    Albumin
    Alkaline phosphatase
    ALT
    AST
    Direct bilirubin
    Total bilirubin
    Total protein CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Hepatic Function Panel
    80076
    CCI  
    $11.21

    Abbott Part # 07P0210 Liver Panel Plus
    Tests Performed
    Albumin
    Alkaline Phosphatase
    ALT
    AST
    Amylase
    GGT NCD
    Total bilirubin
    Total protein CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Albumin
    82040
    Alkaline phosphatase
    84075
    ALT
    84460
    AST
    84450
    Amylase
    82150
    GGT
    82977
    NCD
    Total bilirubin
    82247
    Total protein
    84155
    CCI  
    Paid as Amylase,
    plus 7 automated tests
    $8.89
    + $11.21
    = $ 20.10

    Abbott Part # 07P02-07 Renal Panel
    Tests Performed
    Albumin
    Total Calcium CCI  
    Carbon dioxide
    Chloride
    Creatinine
    Glucose CCI   NCD
    Phosphorus
    Potassium
    Sodium
    BUN
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Renal Function Panel
    80069
    CCI  
    $11.91

    Abbott Part # 07P02-02 Electrolyte Panel
    Tests Performed
    Carbon dioxide
    Chloride
    Potassium
    Sodium
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Electrolyte Panel
    80051
    CCI  
    $9.62

    Abbott Part # 07P02-03 Metlyte 8 Panel
    Tests Performed
    BUN
    Creatinine
    CK CCI  
    Glucose CCI   NCD
    Potassium
    Sodium
    Chloride
    Carbon Dioxide
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Electrolyte Panel
    80051
    CCI  
    BUN
    84520
    Creatinine
    82565
    CK
    82550
    CCI  
    Glucose
    82947
    CCI   NCD
    Paid as 8 automated tests $11.60

    Abbott Part # 07P02-14 MetLyte Plus CRP
    Tests Performed
    BUN
    Creatinine
    CK CCI  
    Glucose CCI   NCD
    Potassium
    Sodium
    Chloride
    Carbon Dioxide
    CRP
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Electrolyte Panel
    80051
    CCI  
    BUN
    84520
    Creatinine
    82565
    CK
    82550
    CCI  
    Glucose
    82947
    CCI   NCD
    CRP
    86140
    Paid as CRP,
    plus 8 automated tests
    $7.10
    + $11.60
    = $ 18.70

    Abbott Part # 07P02-13 Basic Metabolic Panel Plus
    Tests Performed
    Total Calcium CCI  
    Chloride
    Creatinine
    Glucose CCI   NCD
    Potassium
    Sodium
    Carbon Dioxide
    BUN
    LD
    Magnesium
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Basic Metabolic Panel
    80048
    CCI  
    LD
    83615
    Magnesium
    83735
    Paid as Magnesium,
    plus 9 automated tests
    $9.19
    + $11.91
    = $ 21.10

    Comprehensive Metabolic Panel / Lipid Panel
    Tests Performed
    Albumin
    Alkaline Phosphatase
    ALT
    AST
    BUN
    Total Calcium CCI  
    Chloride
    Creatinine
    Glucose CCI   NCD
    Potassium
    Sodium
    Total bilirubin
    Carbon dioxide
    Total protein CCI  
    Total Cholesterol CCI   NCD
    HDL Cholesterol CCI   NCD
    Triglycerides CCI   NCD
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Comprehensive Metabolic Panel
    80053
    CCI  
    Lipid Panel
    80061
    CCI  
    Paid as HDL,
    plus 16 automated tests
    $11.24
    + $14.49
    = $ 25.73

    Abbott Part # 07P02-11 General Chemistry 13
    Tests Performed
    Albumin
    Alkaline Phosphatase
    Amylase
    ALT
    AST
    BUN
    Total Calcium CCI  
    Creatinine
    Glucose CCI   NCD
    Total bilirubin
    Total protein CCI  
    GGT NCD
    Uric Acid
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Albumin
    82040
    Alkaline phosphatase
    84075
    Amylase
    82150
    ALT
    84460
    AST
    84450
    BUN
    84520
    Total Calcium
    82310
    CCI  
    Creatinine
    82565
    Glucose
    82947
    CCI   NCD
    Total Bilirubin
    82247
    Total protein
    84155
    CCI  
    GGT
    82977
    NCD
    Uric Acid
    84550
    Paid as Amylase,
    plus 12 automated tests
    $8.89
    + $12.39
    = $ 21.28

    Abbott Part # 07P02-15 Biochemistry Panel Plus
    Tests Performed
    Albumin
    Alkaline Phosphatase
    Amylase
    ALT
    AST
    BUN
    Total Calcium CCI  
    Creatinine
    Glucose CCI   NCD
    CRP
    Total protein CCI  
    GGT NCD
    Uric Acid
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Albumin
    82040
    Alkaline phosphatase
    84075
    Amylase
    82150
    ALT
    84460
    AST
    84450
    BUN
    84520
    Total Calcium
    82310
    CCI  
    Creatinine
    82565
    Glucose
    82947
    CCI   NCD
    CRP
    86140
    Total protein
    84155
    CCI  
    GGT
    82977
    NCD
    Uric Acid
    84550
    Paid as Amylase plus CRP
    plus 11 automated tests
    $8.89
    + $7.10
    + $12.12
    = $ 28.11

    General Chemistry 12
    Tests Performed
    Albumin
    Alkaline Phosphatase
    ALT
    AST
    BUN
    Total Calcium CCI  
    Creatinine
    Glucose CCI   NCD
    Total bilirubin
    Total protein CCI  
    GGT NCD
    Uric Acid
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Albumin
    82040
    Alkaline phosphatase
    84075
    ALT
    84460
    AST
    84450
    BUN
    84520
    Total Calcium
    82310
    CCI  
    Creatinine
    82565
    Glucose
    82947
    CCI   NCD
    Total Bilirubin
    82247
    Total protein
    84155
    CCI  
    GGT
    82977
    NCD
    Uric Acid
    84550
    Paid as 12 automated tests $12.39

    Abbott Part # 07P02-01 General Chemistry 6
    Tests Performed
    ALT
    AST
    BUN
    Creatinine
    GGT NCD
    Glucose CCI   NCD
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    ALT
    84460
    AST
    84450
    BUN
    84520
    Creatinine
    82565
    GGT
    82977
    NCD
    Glucose
    82947
    CCI   NCD
    Paid as 6 automated tests $10.76

    Abbott Part # 07P02-09 Kidney Check
    Tests Performed
    BUN
    Creatinine
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    BUN
    84520
    Creatinine
    82565
    Paid as 2 automated tests $7.15

    Draw Fee
    Tests Performed
    Routine Venipuncture CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Reimbursement
    Routine Venipuncture
    36415
    CCI  
    $0.00