Sample Collection Fee Adjustment for Clinical Laboratory Fee Schedule and Laboratory Services

When a sample is collected by a laboratory from an individual in a SNF or from an individual on behalf of a HHA, new HCPCS code, G0471 “Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a SNF or by a laboratory on behalf of a HHA,” should be used. Effective April 1, 2014, the nominal fee is increased by $2, from $3 to $5, in accordance with the Protecting Access to Medicare Act (PAMA). MACs will not search their files to adjust claims already processed. However, they will adjust claims brought to their attention.