Revision to Fiscal Intermediary Shared System (FISS) Lab Travel Allowance Editing to Include New Specimen Collection Code G0471

Change Request (CR) 9471, updates Fiscal Intermediary Shared System (FISS) reason code 32436 to include HCPCS code G0471 in the list of specimen collection fee codes that will allow the travel allowance to be paid on outpatient claims. Notify your MAC if your claims for lab travel allowance (HCPCS codes P9603 or P9604), for dates of service on or after April 1, 2014, were returned or rejected when billed with specimen collection fee HCPCS code G0471 “Collection of venous blood by Venipuncture or urine sample by catheterization from an individual in a Skilled Nursing Facility (SNF) or by a laboratory on behalf of a Home Health Agency (HHA).”

Source: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R1619OTN.pdf