Clinical Laboratory Fee Schedule | CMS
We pay for most clinical diagnostic laboratory tests (CDLTs) based off the weighted median of private payor rates (fee schedule). Typically, we update the payment rates using private payor rates every 3 years. This is based on The Protecting Access to Medicare Act (PAMA).
The CY 2025 CLFS includes separately payable fees for certain specimen collection methods (codes 36415, P9612, P9615, and G0471). We establish the fees based on section 1833(h)(4)(B) of the Act. We update the fees for clinical laboratory travel codes P9603 and …
2024年6月7日 · The average State Agency hourly rate for fiscal year 2024 is $111.81. *Contact your State Survey Agency for information about the specific certificate and survey fees your laboratory needs to pay.
CMS Releases CLFS Fee Schedule for CY2025
2024年12月30日 · CMS has issued the Clinical Laboratory Fee Scheduel for CY2025 (First Quarter). This consolidates all existing codes, all new codes for January 2025, and the results of all the appeals and gapfill processes that were running last summer.
MM13889 - Clinical Laboratory Fee Schedule: 2025 Annual Update - HHS.gov
2024年12月19日 · MM13889 - Clinical Laboratory Fee Schedule: 2025 Annual Update. This new Article comprises Subregulatory Guidance about changes and instructions effective January 1, 2025: • Delay in Clinical Laboratory Fee Schedule (CLFS) data reporting period and the phase-in of payment reductions • Mapping for new test codes
2025 Laboratory Fee Schedule. 0066U $ 15.29 Pamg-1 ia cervico-vag fluid Measurement of placental alpha-micro globulin-1 (PAMG-1) in cervical/vaginal 0067U $ 1,897.00 Onc brst imhchem prfl 4 bmrk. Protein expression profiling of 4 biomarkers of …
Clinical Laboratory Fee Schedule: 2025 Annual Update
2024年12月19日 · Make sure your billing staff knows about changes and instructions effective January 1, 2025: delay in Clinical Laboratory Fee Schedule (CLFS) data reporting period and the phase-in of payment reductions; mapping for new test codes; and updates for tests subject to the reasonable charge payment. Auto Launching...
Centers for Medicare & Medicaid Services Data
2024年10月30日 · The data in the Medicare Clinical Laboratory Fee Schedule are gathered from the Fee for Service Data Collection System (FFSDCS). Applicable Laboratories (as defined by the Protecting Access to Medicare Act) submit Applicable …
CMS Posts New Lab Prices for CY2025
On Monday, November 25, 2025, CMS posted over 100 prices for new lab tests for CY2025. This is the traditional cycle of posting proposed prices in September, taking public comment, and posting final prices around Thanksgiving week.
MLN006818 - Clinical Laboratory Fee Schedule | Guidance Portal - HHS.gov
2024年11月30日 · This product educates providers about how Medicare pays for Clinical Diagnostic Laboratory Tests and Advanced Diagnostic Laboratory Tests under the Clinical Laboratory Fee Schedule. Revisions to this Product include the addition CLFS specimen collections fees and travel allowance, links to CLFS webpage for …