US · guidance
CMS SOM App. C, Tag D5789
§493.1283 Standard: Test records
(b) Records of patient testing including, if applicable, instrument printouts, must be
retained.
Interpretive Guidelines §493.1283(b)
The regulations do not require that instrument printouts be posted directly in the patient’s
medical record or chart. However, these printouts must be maintained as part of the
laboratory’s record retention requirements specified throughout the regulations.
Probes §493.1283(b)
Are the original analytic work records complete (e.g., in a randomly chosen sample, is
there an instrument printout for every day of the month on which testing was performed)?
Are the original, as opposed to transcribed and/or edited work records, being retained? If
the laboratory fails to retain the records for the appropriate amount of time, use D3031.
History
Rev. 233; Issued: 09-12-25; Effective: 09-12-25; Implementation: 09-12-25
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
9d1052ba4c15506b3793dd88cb9b30da89981dbfe381540bea5127101db9ec3b
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