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.

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