by Jared Staheli
July 10th, 2015
For fee schedule purposes, clinical laboratory services include most laboratory tests listed in codes 80048-89399 of CPT-1996. The CMS issues an update to the laboratory fee schedule each year, with information about whether prices have been determined by CMS or whether the individual carrier must determine the allowable charge.
Codes not included are not paid under the laboratory fee schedule but may be paid under the MPFS if covered for Medicare.