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National
2024 Laboratory Fee Schedule
Fee schedules do not reflect 2% Payment Adjustment (Sequestration).
Click here for more information.



Disclaimer How To Use This Web Site Advance Beneficiary Notices Frequently Asked Questions
i-STAT:

  • Blood Gases
  • Chemistry
  • Coagulation
  • Cardiac Markers
  • Pregnancy
  • PICCOLO XPRESS:

    Cartridge: ß-hCG
    Test Performed Procedure Code Medicare Coverage
    NATIONAL LIMIT
    Medicare1 Medicaid2
    i-STAT Total ß-hCG 84702
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 15.05 N/A

    Cartridge: CHEM8+
    Test Performed Procedure Code Medicare Coverage
    NATIONAL LIMIT
    Medicare1 Medicaid2
    All tests on Cartridge
    Basic Metabolic Panel (ionized Ca) 80047
    Applicable
    CCI Edits
    $ 13.73 N/A
    Hematocrit 85014
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 2.37 N/A
    If all tests are ordered, performed, and reported: $16.10
    Single tests using "Test Select"
    Sodium 84295
    Applicable
    CCI Edits
    $ 4.81 N/A
    Potassium 84132
    Applicable
    CCI Edits
    $ 4.76 N/A
    Chloride 82435
    Applicable
    CCI Edits
    $ 4.60 N/A
    TCO2 82374
    Applicable
    CCI Edits
    $ 4.88 N/A
    Glucose 82947
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 3.93 N/A
    Glucose post glucose dose 82950
    Applicable
    CCI Edits
    $ 4.75 N/A
    Glucose tolerance test, 3 specimens, (includes glucose) 82951
    Applicable
    CCI Edits
    $ 12.87 N/A
    Glucose tolerance test, each additional beyond 3 specimens 82952
    Applicable
    CCI Edits
    $ 3.92 N/A
    Bun 84520
    Applicable
    CCI Edits
    $ 3.95 N/A
    Creatinine 82565
    Applicable
    CCI Edits
    $ 5.12 N/A
    Ionized Calcium 82330
    Applicable
    CCI Edits
    $ 13.68 N/A
    Hematocrit 85014
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 2.37 N/A
    Test combinations using "Test Select"
    Basic Metabolic Panel (ionized Ca) 80047
    Applicable
    CCI Edits
    $ 13.73 N/A
    Electrolyte Panel 80051
    Applicable
    CCI Edits
    $ 7.01 N/A
    BUN/Creatinine 84520
    Applicable
    CCI Edits
    $ 3.95 N/A
    82565
    Applicable
    CCI Edits
    $ 5.12 N/A
    Total for BUN/Creatinine Test Combination: $ 9.07

    Cartridge: EC8+
    Test Performed Procedure Code Medicare Coverage
    NATIONAL LIMIT
    Medicare1 Medicaid2
    All tests on Cartridge
    Sodium 84295
    Applicable
    CCI Edits
    $ 4.81 N/A
    Potassium 84132
    Applicable
    CCI Edits
    $ 4.76 N/A
    Chloride 82435
    Applicable
    CCI Edits
    $ 4.60 N/A
    Glucose 82947
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 3.93 N/A
    Bun 84520
    Applicable
    CCI Edits
    $ 3.95 N/A
    Hematocrit 85014
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 2.37 N/A
    pH, PCO2 82803
    Applicable
    CCI Edits
    $ 26.07 N/A
    If all tests are ordered, performed, and reported: $50.49
    Single tests using "Test Select"
    Sodium 84295
    Applicable
    CCI Edits
    $ 4.81 N/A
    Potassium 84132
    Applicable
    CCI Edits
    $ 4.76 N/A
    Chloride 82435
    Applicable
    CCI Edits
    $ 4.60 N/A
    Glucose 82947
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 3.93 N/A
    Bun 84520
    Applicable
    CCI Edits
    $ 3.95 N/A
    Hematocrit 85014
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 2.37 N/A
    pH, PCO2 82803
    Applicable
    CCI Edits
    $ 26.07 N/A

    Cartridge: Crea
    Test Performed Procedure Code Medicare Coverage
    NATIONAL LIMIT
    Medicare1 Medicaid2
    Creatinine, Blood 82565 -QW
    Applicable
    CCI Edits
    $ 5.12 N/A

    Cartridge: PTplus
    Test Performed Procedure Code Medicare Coverage
    NATIONAL LIMIT
    Medicare1 Medicaid2
    Prothrombin time 85610
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 4.29 N/A

     Draw Fee
    NATIONAL LIMIT
    Service Performed
    Procedure Code
    Medicare Coverage
    Medicare
    Medicaid
    Routine Venipuncture
    36415
    CCI  
    $8.83
    N/A


    1Reimbursement information source: Centers for Medicare and Medicaid Clinical Diagnostic Laboratory Fee Schedule 2024, available at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ClinicalLabFeeSched/Clinical-Laboratory-Fee-Schedule-Files.html



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