Question:
Last week’s question related to Medicare separate payment for specimen-collection codes. You said that Medicare does make separate payment for 36415, P9612 and P9615. Does this apply to the OPPS or the CLFS?
Answer:
The separate payment for the codes you list applies to the Clinical Laboratory Fee Schedule (CLFS). This information can be found in Transmittal 3999 (issued March 14, 2018), which is available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018-Transmittals-Items/R3999CP.html.
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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