11/18/2021 2020 Part B Utilization Data Loaded
150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax

User Information

Create New Account

Lost Password


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule


Physician Fee Schedule


OPPS Fee Schedule


ASC Fee Schedule


APC Codes


DRG Codes


ASP Drug Pricing Files

January 2022
October 2021

CMS Transmittals

Shipping update: 2022 CodeMap Manuals beginning shipping 1/19. All orders will be shipped by January 31.

CodeMap® 07/26/2013: CMS Proposes Changes to Payment for Lab Tests: Part II

CodeMap® Compliance Briefing: July 26, 2013

Editor's Welcome: 

As we discussed last week, CMS has proposed major changes to laboratory test reimbursements starting as early as 2014. The 2014 Medicare Physician Fee Schedule (PFS) Proposed Rule includes a proposal to review and revise the amounts paid for all tests currently on the Medicare Clinical Laboratory Fee Schedule (CLFS) starting with calendar year 2015. In addition, the Outpatient Prospective Payment System (OPPS) Proposed Rule includes the proposed bundling of many outpatient laboratory tests into a single facility payment, much like the inpatient DRG. This week we will conclude our 2 part series by analyzing the proposed bundling of lab tests under the OPPS.  As always, please let us know your concerns and questions via....

Sorry, access to this content requires a current subscription.

Click here for publications catalog.


CPT copyright 2021 American Medical Association. All rights reserved.

* The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained in this product.

CodeMap® is a Registered Trademark of Wheaton Partners, LLC.