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US · guidance

CMS Pub. 100-04, ch. 16, § 50.3.1

Hospital-Leased Laboratories

activein force · 2026-08-25 – presentas-observed

B3-4110.1

A/B MACs (B) process claims from hospital laboratories that are leased by physicians

and independent laboratories.

Before processing claims for services furnished by a hospital laboratory department

operated on a lease or concession basis by a pathologist or by a nonphysician specialist

such as a biochemist (with a visiting pathologist or outside independent laboratory doing

the hospital’s tissue work), A/B MACs (B) must ascertain if the laboratory has been

approved by the RO.

Services furnished by a laboratory that does not meet the hospital laboratory conditions

of participation and is operated under a lease arrangement in a domestic emergency

hospital are covered only if they are emergency inpatient services payable under Part A.

Additional information concerning nonparticipating emergency hospital services is found

in Chapter 3.

History

(Rev. 1, 10-01-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
e792ef97c667780357eb46f85e7cd6b575d1e2cc3f0623fe3c282b99f906ae6f
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