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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
    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
  • 07P02-01 General Chemistry 6
  • 07P02-09 Kidney Check
  • Draw Fee
  • MODERATE COMPLEXITY LABS:

    Abbott Part # 07P02-16 MetLac 12 Panel
    Tests Performed
    Albumin CCI  
    BUN CCI  
    Total Calcium CCI  
    Carbon dioxide CCI  
    Chloride CCI  
    Creatinine CCI  
    Glucose CCI   NCD
    Lactate CCI  
    Magnesium CCI  
    Phosphorus, inorganic (phosphate) CCI  
    Potassium CCI  
    Sodium CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Albumin
    82040
    CCI  
    $5.50
    N/A
    Basic metabolic panel
    80048
    CCI  
    $9.40
    N/A
    Lactate
    83605
    CCI  
    $11.87
    N/A
    Magnesium
    83735
    CCI  
    $7.44
    N/A
    Phosphorus, inorganic (phosphate)
    84100
    CCI  
    $5.27
    N/A
    If all tests are ordered, performed, and reported.
    $39.48
    N/A


    Abbott Part # 07P0208 Comprehensive Metabolic Panel
    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
    CCI  
    $11.74
    N/A

    Abbott Part # 07P02-04 Basic Metabolic Panel
    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
    CCI  
    $9.40
    N/A

    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
    Medicare Reimbursement
    Medicaid Reimbursement
    Lipid Panel
    80061
    CCI   NCD
    $14.88
    N/A

    Abbott Part # 07P0212 Lipid Panel Plus
    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
    CCI   NCD
    $14.88
    N/A
    Glucose
    82947
    CCI   NCD
    $4.37
    N/A
    ALT
    84460
    CCI  
    $5.89
    N/A
    AST
    84450
    CCI  
    $5.75
    N/A
    If all tests are ordered, performed, and reported.
    $30.89
    N/A

    Abbott Part # 07P0206 Hepatic Panel
    Tests Performed
    Albumin CCI  
    Alkaline phosphatase CCI  
    ALT CCI  
    AST CCI  
    Direct bilirubin CCI  
    Total bilirubin CCI  
    Total protein CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Hepatic Function Panel
    80076
    CCI  
    $9.08
    N/A

    Abbott Part # 07P0210 Liver Panel Plus
    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
    CCI  
    $5.50
    N/A
    Alkaline phosphatase
    84075
    CCI  
    $5.75
    N/A
    ALT
    84460
    CCI  
    $5.89
    N/A
    AST
    84450
    CCI  
    $5.75
    N/A
    Amylase
    82150
    CCI  
    $7.20
    N/A
    GGT
    82977
    CCI   NCD
    $8.00
    N/A
    Total bilirubin
    82247
    CCI  
    $5.57
    N/A
    Total protein
    84155
    CCI  
    $4.07
    N/A
    If all tests are ordered, performed, and reported.
    $47.73
    N/A

    Abbott Part # 07P02-07 Renal Panel
    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
    CCI  
    $9.65
    N/A

    Abbott Part # 07P02-02 Electrolyte Panel
    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
    CCI  
    $7.79
    N/A

    Abbott Part # 07P02-03 Metlyte 8 Panel
    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
    CCI  
    $7.79
    N/A
    BUN
    84520
    CCI  
    $4.39
    N/A
    Creatinine
    82565
    CCI  
    $5.69
    N/A
    CK
    82550
    CCI  
    $7.23
    N/A
    Glucose
    82947
    CCI   NCD
    $4.37
    N/A
    If all tests are ordered, performed, and reported.
    $29.47
    N/A

    Abbott Part # 07P02-14 MetLyte Plus CRP
    Tests Performed
    BUN CCI  
    Creatinine CCI  
    CK CCI  
    Glucose CCI   NCD
    Potassium CCI  
    Sodium CCI  
    Chloride CCI  
    Carbon Dioxide CCI  
    CRP CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Electrolyte Panel
    80051
    CCI  
    $7.79
    N/A
    BUN
    84520
    CCI  
    $4.39
    N/A
    Creatinine
    82565
    CCI  
    $5.69
    N/A
    CK
    82550
    CCI  
    $7.23
    N/A
    Glucose
    82947
    CCI   NCD
    $4.37
    N/A
    CRP
    86140
    CCI  
    $5.75
    N/A
    If all tests are ordered, performed, and reported.
    $35.22
    N/A

    Abbott Part # 07P02-13 Basic Metabolic Panel Plus
    Tests Performed
    Total Calcium CCI  
    Chloride CCI  
    Creatinine CCI  
    Glucose CCI   NCD
    Potassium CCI  
    Sodium CCI  
    Carbon Dioxide CCI  
    BUN CCI  
    LD CCI  
    Magnesium CCI  
    Coding and Medicare Reimbursement for National
    Test NameProcedureMedicare Coverage
    Medicare Reimbursement
    Medicaid Reimbursement
    Basic Metabolic Panel
    80048
    CCI  
    $9.40
    N/A
    LD
    83615
    CCI  
    $6.71
    N/A
    Magnesium
    83735
    CCI  
    $7.44
    N/A
    If all tests are ordered, performed, and reported.
    $23.55
    N/A

    Comprehensive Metabolic Panel / Lipid Panel
    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
    CCI  
    $11.74
    N/A
    Lipid Panel
    80061
    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
    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
    CCI  
    $5.50
    N/A
    Alkaline phosphatase
    84075
    CCI  
    $5.75
    N/A
    Amylase
    82150
    CCI  
    $7.20
    N/A
    ALT
    84460
    CCI  
    $5.89
    N/A
    AST
    84450
    CCI  
    $5.75
    N/A
    BUN
    84520
    CCI  
    $4.39
    N/A
    Total Calcium
    82310
    CCI  
    $5.73
    N/A
    Creatinine
    82565
    CCI  
    $5.69
    N/A
    Glucose
    82947
    CCI   NCD
    $4.37
    N/A
    Total Bilirubin
    82247
    CCI  
    $5.57
    N/A
    Total protein
    84155
    CCI  
    $4.07
    N/A
    GGT
    82977
    CCI   NCD
    $8.00
    N/A
    Uric Acid
    84550
    CCI  
    $5.02
    N/A
    If all tests are ordered, performed, and reported.
    $72.93
    N/A

    Abbott Part # 07P02-15 Biochemistry Panel Plus
    Tests Performed
    Albumin CCI  
    Alkaline Phosphatase CCI  
    Amylase CCI  
    ALT CCI  
    AST CCI  
    BUN CCI  
    Total Calcium CCI  
    Creatinine CCI  
    Glucose CCI   NCD
    CRP 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
    CCI  
    $5.50
    N/A
    Alkaline phosphatase
    84075
    CCI  
    $5.75
    N/A
    Amylase
    82150
    CCI  
    $7.20
    N/A
    ALT
    84460
    CCI  
    $5.89
    N/A
    AST
    84450
    CCI  
    $5.75
    N/A
    BUN
    84520
    CCI  
    $4.39
    N/A
    Total Calcium
    82310
    CCI  
    $5.73
    N/A
    Creatinine
    82565
    CCI  
    $5.69
    N/A
    Glucose
    82947
    CCI   NCD
    $4.37
    N/A
    CRP
    86140
    CCI  
    $5.75
    N/A
    Total protein
    84155
    CCI  
    $4.07
    N/A
    GGT
    82977
    CCI   NCD
    $8.00
    N/A
    Uric Acid
    84550
    CCI  
    $5.02
    N/A
    If all tests are ordered, performed, and reported.
    $73.11
    N/A

    Abbott Part # 07P02-01 General Chemistry 6
    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
    CCI  
    $5.89
    N/A
    AST
    84450
    CCI  
    $5.75
    N/A
    BUN
    84520
    CCI  
    $4.39
    N/A
    Creatinine
    82565
    CCI  
    $5.69
    N/A
    GGT
    82977
    CCI   NCD
    $8.00
    N/A
    Glucose
    82947
    CCI   NCD
    $4.37
    N/A
    If all tests are ordered, performed, and reported.
    $34.09
    N/A

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