Laboratory Question for the Week of January 1, 2024

Question:

What is the national minimum payment amount for a pap smear test in 2024, and how is it calculated based on the 2023 national minimum payment?

Answer:

For a pap smear test, CY 2024 national minimum payment amount is $17.76 This value is the CY 2023 national minimum payment with a 2.6% increase or $17.31 times 1.026. The affected codes for the national minimum payment amount are: 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88164, 88165, 88166, 88167, 88174, 88175, G0123, G0143, G0144, G0145, G0147, G0148, Q0111, Q0115, and P3000. The annual update to payments made on a reasonable charge basis for all other laboratory services is the Consumer Price Index-Update (CPI-U), which for CY 2024 is 3.0%, per 42 CFR 405.509(b)(1).

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