Laboratory Question for the Week of April 25, 2016

Laboratory Compliance Question of the Week

Question:

Are there any laboratory services that aren’t packaged under the OPPS?

Answer:

For non-patient referred specimens, hospitals will continue to report services on type of bill (TOB) 141 (hospital non-patient). The three other scenarios below also will not be packaged under the hospital outpatient prospective payment system (OPPS).

  • Outpatient lab-only encounters
  • Unrelated lab procedures
  • Fee-for-service. 

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.