Laboratory Test Codes Subject to Date of Service Exception (Updated 09/02/2020)

Medicare Clinical Laboratory Fee Schedule 
Revised Laboratory Date of Service (DOS) Policy

Laboratory Tests For Which the DOS is the Date the Test is Performed 
(Subject to the Conditions Specified in 42 CFR 414.510(b)(5))*
Revisions to Previous List Indicated By Red Font

HCPCS Code	OPPS Payment Status Indicator	Short Descriptor	Effective Date
0204U	A	Onc thyr mrna xprsn alys 593	10/1/2020
0205U	A	Oph amd alys 3 gene variants	10/1/2020
0208U	A	Onc mtc mrna xprsn alys 108	10/1/2020
0209U	A	Cytog const alys interrog	10/1/2020
0212U	A	Rare ds gen dna alys proband	10/1/2020
0213U	A	Rare ds gen dna alys ea comp	10/1/2020
0214U	A	Rare ds xom dna alys proband	10/1/2020
0215U	A	Rare ds xom dna alys ea comp	10/1/2020
0216U	A	Neuro inh ataxia dna 12 com	10/1/2020
0217U	A	Neuro inh ataxia dna 51 gene	10/1/2020
0218U	A	Neuro musc dys dmd seq alys	10/1/2020
0219U	A	Nfct agt hiv gnrj seq alys	10/1/2020
0221U	A	Abo gnotyp next gnrj seq abo	10/1/2020
0222U	A	Rhd&rhce gntyp next gnrj seq	10/1/2020

 

Source: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ClinicalLabFeeSched/Clinical-Lab-DOS-Policy