CLFS PAMA Educational Resources

Frequently Asked Questions (FAQs)

• CY 2021 (PDF) (PDF) – Updated 03/29/2022
• CY 2019 (PDF) (PDF) – Updated 09/05/2019 for changes effective 01/01/2019
• CY 2017 (PDF) (PDF) – Updated 03/09/2017

Medicare Learning Network® Publications

• Clinical Laboratory Fee Schedule (PDF) (PDF): Learn how Medicare pays for clinical diagnostic laboratory tests (CDLTs) and advanced diagnostic laboratory tests (ADLTs) under the Clinical Laboratory Fee Schedule (CLFS)
• Clinical Laboratory Fee Schedule Annual Payment Determination Process (PDF): Read about the annual payment determination process
• Complying with Documentation Requirements for Lab Services (PDF) (PDF): Understand documentation requirements
• CLIA Program & Medicare Lab Services (PDF) (PDF): Find about the Clinical Laboratory Improvements Amendments (CLIA) Program
• Medicare Part B Clinical Laboratory Fee Schedule: Revised Information for Laboratories on Collecting & Reporting Data for the Private Payor Rate-Based Payment System (PDF) (PDF): Get detailed information and see examples to help you determine if you need to report information

For more information

See payment determinations, gapfilling determinations, and test code updates.