Rural Health Clinics (Rev. 1, 10-01-03) - Laboratory Services

by  Jared Staheli
July 9th, 2015

Rural Health Clinics (RHCs) must furnish the following laboratory services to be approved as an RHC. However, these and other laboratory services that may be furnished are not included in the encounter rate and must be billed separately:

• Chemical examinations of urine by stick or tablet method or both;

• Hemoglobin or hematocrit;

• Blood sugar;

• Examination of stool specimens for occult blood;

• Pregnancy tests; and

• Primary culturing for transmittal to a certified laboratory (No CPT code available).

Effective January 1, 2001, freestanding RHCs/Federally Qualified Health Centers (FQHCs) bill all laboratory services to the carrier, and provider based RHCs/FQHCS bill all laboratory tests to the FI under the host provider’s bill type. In either case payment is made under the fee schedule. HCPCS codes are required for laboratory services. (See §40.4 for details on RHC billing.)

References:

Rural Health Clinics (Rev. 1, 10-01-03) - Laboratory Services. (2015, July 9). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/rural-health-clinics-rev-1-10-01-03-laboratory-services-27154.html

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