Carrier Claims Processing - Hospital-Leased Laboratories (Rev. 1, 10-01-03)

by  Jared Staheli
July 9th, 2015

Carriers process claims from hospital laboratories that are leased by physicians and independent laboratories.

Before processing claims for services furnished by a hospital laboratory department operated on a lease or concession basis by a pathologist or by a nonphysician specialist such as a biochemist (with a visiting pathologist or outside independent laboratory doing the hospital’s tissue work), carriers must ascertain if the laboratory has been approved by the RO.

Services furnished by a laboratory that does not meet the hospital laboratory conditions of participation and is operated under a lease arrangement in a domestic emergency hospital are covered only if they are emergency inpatient services payable under Part A.

Additional information concerning nonparticipating emergency hospital services is found in Chapter 3.


Carrier Claims Processing - Hospital-Leased Laboratories (Rev. 1, 10-01-03). (2015, July 9). Find-A-Code Articles. Retrieved from

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