Laboratory Question for the Week of May 14, 2018

Laboratory Compliance Question of the Week

Question:

Last week’s question related to Medicare separate payment for specimen-collection codes. You said that Medicare does make separate payment for 36415, P9612 and P9615. Does this apply to the OPPS or the CLFS?

Answer:

The separate payment for the codes you list applies to the Clinical Laboratory Fee Schedule (CLFS). This information can be found in Transmittal 3999 (issued March 14, 2018), which is available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018-Transmittals-Items/R3999CP.html.

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.