US · guidance
CMS Pub. 100-04, ch. 16, § 40.6.2
Claims Processing for Separately Billable Tests for ESRD Beneficiaries
Clinical laboratory tests can be performed individually or in predetermined groups on automated profile
equipment. If a test profile is performed see §40.6.1. If a clinical laboratory test is performed individually,
see §40.6.2.1. However the tests are performed in the laboratory setting, the services must be billed
individually, and must not be billed in a group as an organ or disease panel.
History
(Rev. 1655, Issued: 12-31-08, Effective: 01-01-09, Implementation: 02-02-09)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
049811286c080bd0c779bb4a97bead52af384b418619fa4a3200ceef344a0213
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