Focus On: Clinical Laboratory Fee Schedule: Industry Groups Give Recommendations on 2015 Lab Test Codes

Leading lab and pathology groups recently made recommendations to the Centers for Medicare and Medicaid Services on new and revised codes that will be added to the Clinical Laboratory Fee Schedule effective Jan. 1, 2015. This is the second part of coding recommendations; the first part of the recommendations was included in the July 24, 2014, issue of National Intelligence Report. MEDICARE LAB FEE SCHEDULE FOR 2015: NEW CPT CODES AND PAYMENT RECOMMENDATIONS CODE DESCRIPTOR CODE CROSSWALK OR GAP-FILL PROPOSED NLA GENOMIC SEQUENCING PROCEDURES 81410X Aortic dysfunction or dilation genomic sequence analysis panel, must include sequencing of at least 9 genes, including FBN1, TGFBR1, TGFBR2, COL3A1, MYH11, ACTA2, SLC2A10, SMAD3, and MYLK ACLA, ASCP: Gap-fill AACC, ASCLS: Crosswalk to 81292 x 2 — $1,292.48 81411X Aortic dysfunction or dilation (duplication/deletion analysis), panel must include analyses for TGFBR1, TGFBR2, MYH11, and COL3A1 ACLA, ASCP: Gap-fill AACC, ASCLS: Crosswalk to 81292 x 2 — $904.74 81415X Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ACLA, ASCP: Gap-fill AACC, ASCLS: Crosswalk to 81292 x 9.9 — $6,397.78 81416X Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome ACLA, ASCP: Gap-fill AACC, ASCLS: Crosswak to 81292 […]