Payment Method for HIV Screening Tests (Rev. 2199, 07-06-10)

by  Jared Staheli, MPP
Jul 6th, 2015

Payment for HIV screening is under the Medicare Clinical Laboratory Fee Schedule for TOBs 12X, 13X, 14X, 22X, and 23X beginning January 1, 2011. For TOB 85X payment is based on reasonable cost. Deductible and coinsurance do not apply. Between December 8, 2009, and April 4, 2010, these services can be billed with unlisted procedure code 87999. Between April 5, 2010, and January 1, 2011, the G codes will be contractor priced.