Preliminary Gapfill Payment Determinations – Calendar Year 2016

This file includes test codes and preliminary prices, by locality, for clinical diagnostic laboratory tests that CMS determined should be priced by Medicare Administrative Contractors (MACs) for 2016 using the gapfilling methodology.  The pricing pertains to Genomic Sequencing codes (81412-81442) and Multianalyte Assays with Algorithmic Analyses (81490-0010M). This preliminary pricing file includes the national limitation amount and the individual locality prices. The public is invited to submit comments on these preliminary pricing decisions.  Please submit any comments to Glenn.McGuirk@cms.hhs.gov by August 10, 2016.

Source: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/clinicallabfeesched/gapfill-pricing-inquiries.html