Clinical Laboratory Fee Schedule – July 1,2021 update

New Codes Effective July 1, 2021 Proprietary Laboratory Analysis (PLAs) Please see table attached to the Transmittal entitled “CY2021 CLFS Quarterly Updates”, Tab “New Codes Effective 07-01-2021”. The listed new codes were added to the national HCPCS file with an effective date of July 1, 2021 and do not need to be manually added to the HCPCS files by the MACs. However, these new codes are contractor-priced (where applicable) until they are nationally priced and undergo the CLFS annual payment determination process in accordance with the Social Security Act § 1833(h)(8), § 1834A(c) and § 1834(A)(f). MACs shall only price PLA codes for laboratories within their jurisdiction.

New Codes Effective 7/1/2021:

0248U, 0249U, 0250U, 0251U, 0252U, 0253U, 0254U, G0327, 0017M

Source: https://www.cms.gov/files/document/r10810CP.pdf#page=8