Billing Beat

Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens

March 29, 2013

Medicare Part B, allows payment for a specimen collection fee and travel allowance, when medically necessary, for a laboratory technician to draw a specimen from either a nursing home patient or homebound patient. Payment for these services is made based on the clinical laboratory fee schedule. Effective January 1, 2013 the new mileage rates are:

HCPCS Code P9603: $1.02

HCPCS Code P9604: $10.15

Last year’s per mile travel allowance (P9603) was $1.01 per mile and the per flat-rate trip basis travel allowance (P9604) was $10.05.

Note: Claims for these services will not be automatically adjusted. Providers must bring any previously paid claims to their contractors’ attention.

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