Medicare Lab Fee Schedule for 2014: New CPT Codes and Payment Method Recommendations

MEDICARE LAB FEE SCHEDULE FOR 2014: NEW CPT CODES AND PAYMENT METHOD RECOMMENDATIONS CODE DESCRIPTOR CODE CROSSWAK OR GAP-FILL PROPOSED NLA Therapeutic Drug Assays 80XXX1 Caffeine AACC: Crosswalk to 80198 ACLA, ASCP, CAP: Crosswalk to 82491 $19.45 $24.82 80XXX2 Clozapine AACC, ACLA, ASCP, CAP: Crosswalk to 80154 $25.43 80XXX3 Everolimus AACC: Crosswalk to 80158 ACLA, ASCP, CAP: Crosswalk to 82542 $24.81 $24.82 80XXX4 Gabapentin AACC: Crosswalk to 80157 ACLA, ASCP, CAP: Crosswalk to 82491 $20.02 $24.82 80XX5 Lamotrigine AACC: Crosswalk to 80157 ACLA, ASCP, CAP: Crosswalk to 82542 $20.02 $24.82 80XXX6 Levetiracetam AACC: Crosswalk to 80157 ACLA, ASCP, CAP: Crosswalk to 82542 $20.02 $24.82 80XX5 Lamotrigine AACC: Crosswalk to 80157 ACLA, ASCP, CAP: Crosswalk to 82542 $20.02 $24.82 80XXX7 Mycophenolate AACC: Crosswalk to 80158 ACLA, ASCP, CAP: Crosswalk to 82542 $24.81 $24.82 80XXX8 Oxcarbazepine AACC: Crosswalk to 80157 ACLA, ASCP, CAP: Crosswalk to 82542 $20.02 $24.82 80XXX9 Tiagabine AACC: Crosswalk to 80157 ACLA, ASCP, CAP: Crosswalk to 82542 $20.02 $24.82 80XX10 Zonisamide AACC: Crosswalk to 80157 ACLA, ASCP, CAP: Crosswalk to 82542 $20.02 $24.82 TIER 1 MOLECULAR PATHOLOGY PROCEDURES 81161 DUPLICATION/DELETION ANALYSIS AACC: Crosswalk to 81404 ACLA: Take the median of the code stacks which were used to bill this…