150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax

2023 Printed Publications Early Bird Sale on Now through August 31, 2022!

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

July 2022
April 2022

CMS Transmittals

CodeMap® 08/20/2020: OIG Report on Laboratory Test Expenditures 2018

CodeMap® Compliance Briefing: August 20, 2020

Editor's Welcome: Last week, the OIG published a report on Medicare expenditures for laboratory tests in 2018. The OIG performed this analysis for two reasons; one, 2018 was the first year that CMS used private payer reimbursement data to determine Medicare reimbursement amounts pursuant to PAMA; and two, PAMA requires the OIG to annually monitor and identify the top 25 tests based on Medicare spending. The report is surprising in that it demonstrates that Medicare paid $7.6 billion for lab tests in 2018, a $459 million increase over the $7.1 billion Medicare paid in 2017. Despite the fact that PAMA reduced Medicare reimbursement for more than 75% of the tests listed in the Medicare Clinical Laboratory Fe....

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.