US · guidance
CMS Pub. 100-04, ch. 16, § 100
CPT Codes Subject to and Not Subject to the Clinical Laboratory
Fee Schedule
(Rev. 1, 10-01-03)
HO-437, A3-3628, B3-5114.1
For fee schedule purposes, clinical laboratory services include most laboratory tests listed
in codes 80048-89399 of CPT-1996. The CMS issues an update to the laboratory fee
schedule each year, with information about whether prices have been determined by
CMS or whether the individual A/B MAC (B) must determine the allowable charge.
Codes not included are not paid under the laboratory fee schedule but may be paid under
the MPFS if covered for Medicare.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
033752d25e59943dbc8f30ed117da879f981344137261d4f654e047158e62a5c
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