US · guidance
CMS Pub. 100-04, ch. 16, § 80.3
National Minimum Payment Amounts for Cervical or Vaginal
Smear Clinical Laboratory Tests
(Rev. 1, 10-01-03)
PM AB-99-84, AB-99-99
For cervical or vaginal smear clinical laboratory tests, payment is the lesser of the local
fee or the national limitation amount, but not less than the national minimum payment
amount (NMPA). However, in no case may payment for these tests exceed actual
charges. The Part B deductible and coinsurance do not apply.
For tests performed on or after January 1, 2000, a NMPA of $14.60 is established and
applies for cervical or vaginal smear clinical laboratory tests in accordance with §224 of
the Balanced Budget Refinement Act (Public Law 106-113). The affected CPT
laboratory test codes for the NMPA are 88142, 88143, 88144, 88145, 88147, 88148,
88150, 88152, 88153, 88154, 88164, 88165, 88166, 88167, G0123, G0143, G 0144,
G0145, G0147, G0148, and P3000.
The NMPA will be reviewed and updated in conjunction with the clinical laboratory fee
schedule, as required. Instructions for such updates will be sent to A/B MACs (A) and
(B) through periodic temporary instructions.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
1472bb44c52bd37b11cedf69ce84e53791340f09996b7d02d989209894fa8c60
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