US · guidance
CMS Pub. 100-05, ch. 5, § 40.8.6
MSP Outpatient Claims Involving Lab Charges Paid by Fee
Schedule
(Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22)
The following procedures describe how to prorate primary payments for MSP outpatient
claims that include charges for clinical diagnostic lab services (paid on the basis of 100
percent of a fee schedule) and charges for non-lab services (subject to the regular
deductible and coinsurance requirement) when a primary payer pays in part for the
services, without designating how much of its payment is for each type of service.
History
(Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
665f310985e10a6a36e4efd4580573e61f2c019d19badc7f10adf1e487844a52
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.