Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: Quarterly Update

COVID-19 PHE Ends Effective May 11, 2023. HCPCS codes G2023, G2024, U0003, U0004, and U0005 are terminated and aren’t payable for dates of service on or after May 12, 2023.

DELAYED – The Next CLFS Data Reporting Period for Clinical Diagnostic Laboratory Tests (CDLTs) is DELAYED until January 1 – March 31, 2024 Section 4114 of the Consolidated Appropriations Act, 2023 revised the next data reporting period for CDLTs that aren’t Advanced Diagnostic Laboratory Tests (ADLTs) and the phase-in of payment reductions under the Medicare private payor rate-based CLFS. The next data reporting period of January 1 – March 31, 2024, will be based on the original data collection period of January 1 – June 30, 2019. After the next data reporting period, there’s a 3-year data reporting cycle for CDLTs that aren’t ADLTs (in other words, 2027, 2030, and so on).

CR#: 13195

Source: https://www.xifin.com/resources/industry-news/202306/clinical-laboratory-fee-schedule-laboratory-services-reasonable