Question:
Is the performing laboratory required to bill Medicare for the test if all conditions of the new laboratory DOS exception are met?
Answer:
Yes. If all of the conditions for the new laboratory DOS exception are met, the performing laboratory is required to bill Medicare directly for those tests, instead of seeking payment from the hospital outpatient department.
This question was answered in our annual Laboratory Coding Update webcast. For more hot topics relating to laboratory services, please visit our store or call us at 1.800.252.1578, ext. 2.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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