Laboratory Question for the Week of May 3, 2021

Laboratory Compliance Question of the Week


What is the per flat rate billing per trip in 2021?


The one-way, flat-rate trip travel allowance (P9604) for 2021 will be $10.10. CMS states code P9604 should be used in areas where average trips are less than 20 miles round trip. The fee will be pro-rated for more than one blood drawn at the same address and for stops at the homes of Medicare and non-Medicare patients. CMS uses the federal mileage rate and a laboratory technician’s time of $17.66 an hour, including overhead. Contractors have the option of establishing a flat rate in excess of the minimum of $10 if local conditions warrant it.

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