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Question:
What is the per flat rate billing per trip in 2021?
Answer:
The one-way, flat-rate trip travel allowance (P9604) for 2021 will be $10.10. CMS states code P9604 should be used in areas where average trips are less than 20 miles round trip. The fee will be pro-rated for more than one blood drawn at the same address and for stops at the homes of Medicare and non-Medicare patients. CMS uses the federal mileage rate and a laboratory technician’s time of $17.66 an hour, including overhead. Contractors have the option of establishing a flat rate in excess of the minimum of $10 if local conditions warrant it.
This question was answered in an edition of our Laboratory Compliance Manager. 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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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.
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