Important Links
Billing / Payment
- Clinical Laboratory Fee Schedule
- Electronic Billing & EDI Transactions - Medicare information on electronic transactions under HIPAA
Coverage
Demonstration
Educational Resources
Legislation
Policies/Regulations
- CLFS History
- Negotiated Rulemaking (CMS-3250-F): Coverage and Administrative Policies for Clinical Diagnostic Laboratory Services
- Medicare Claims Processing Manual - Chapter 16 - Laboratory Services (PDF)
- Medicare Benefit Policy Manual, Chapter 15, Section 30.5 (Chiropractor Services) (PDF)
- Quarterly Provider Updates
- Clinical Laboratory Improvement Amendments (CLIA)
- HIPAA - General Information
- Physician Self Referral
Coding
- Medicare National Correct Coding Initiative (NCCI) Edits
- Column 1/Column 2 Pathology and Laboratory Services -
- Mutually Exclusive Pathology and Laboratory Services -
- HCPCS - General Information
- Alpha-Numeric HCPCS
- ICD-10
- The latest HIPAA codes are available at the Washington Publishing Company (WPC) Website.
Contacts
Enrollment/Participation
- Medicare Provider-Supplier Enrollment
- Enrollment Applications
- Conditions for Coverage (CfCs) & Conditions of Participations (CoPs)
- Information for Medicare Fee-for-Service Providers for the National Provider Identifier Standard (NPI)
How to Stay Informed
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