Laboratory Question for the Week of October 30, 2017

Laboratory Compliance Question of the Week

Question:

Do you know what the payment rate would be for CPT® codes 85025 (CBC) and 80061 (lipid panel) under the new proposed CLFS?

Answer:

Here are the preliminary rates that the Centers for Medicare & Medicaid Services (CMS) posted several weeks ago:

Codes Descriptions 2017 NLAs 2018 Payment with Cap 2019 Payment with Cap  2020 Payment with Cap
 85025 Blood count; complete (CBC), automated and automated differential WBC count  $10.66  $9.59  $8.63  $7.77
 80061  Lipid panel  $0.00  $11.23  $11.23  $11.23

CPT® is a registered trademark of the American Medical Association.


This question was answered in the October edition of our Laboratory Compliance Manager. For more hot topics relating to laboratory services, please view our store, or call us at 1.800.252.1578 ext. 2.

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.