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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
  • Blood Gases

    Cartridge: G3+
    Test Performed Procedure Code Medicare Coverage National Limit
    pH, PCO2, PO2. TCO2, HCO3, BEecf, sO2 82803
    Applicable
    CCI Edits
    $ 26.54

    Cartridge: CG4+
    Test Performed Procedure Code Medicare Coverage National Limit
    pH, PCO2, PO2. TCO2, HCO3, BEecf, sO2 82803
    Applicable
    CCI Edits
    $ 26.54
    Lactate 83605
    $ 14.65
    Total Reimbursement = $ 41.19

    Cartridge: EG6+
    Test Performed Procedure Code Medicare Coverage National Limit
    pH, PCO2, PO2. TCO2, HCO3, BEecf, sO2 82803
    Applicable
    CCI Edits
    $ 26.54
    Sodium 84295
    Potassium 84132
    2 Automated Tests $ 7.15
    Hematocrit 85014
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 3.25
    Total Reimbursement = $ 36.94

    Cartridge: EG7+
    Test Performed Procedure Code Medicare Coverage National Limit
    pH, PCO2, PO2. TCO2, HCO3, BEecf, sO2 82803
    Applicable
    CCI Edits
    $ 26.54
    Sodium 84295
    Potassium 84132
    Ionized Calcium 82330
    3 Automated Tests $ 9.12
    Hematocrit 85014
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 3.25
    Total Reimbursement = $ 38.91

    Cartridge: CG8+
    Test Performed Procedure Code Medicare Coverage National Limit
    pH, PCO2, PO2. TCO2, HCO3, BEecf, sO2 82803
    Applicable
    CCI Edits
    $ 26.54
    Sodium 84295
    Potassium 84132
    Glucose 82947
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    Ionized Calcium 82330
    4 Automated Tests $ 9.62
    Hematocrit 85014
    Applicable
    CCI Edits
    National
    Covered
    ICD-10 Codes
    $ 3.25
    Total Reimbursement = $ 39.41


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