2005 Annual Update for Clinical Laboratory Fee Schedule

Internet access to the 2005 clinical laboratory fee schedule data file will be available after November 18, 2004, at: Payment Systems. Medicaid State agencies, the Indian Health Service, the United Mine Workers, Railroad Retirement Board, and other interested parties should use the Internet to retrieve the 2005 clinical laboratory fee schedule. It will be available in multiple formats: Excel, text and comma delimited.

Pricing Information for the Travel Fee

For dates of service January 01, 2005 through December 31, 2005, the standard mileage rate for transportation costs is $0.385. The 2005 payment for code P9603 is $.835 and for code P9604 is $8.35.

For 2005, the clinical laboratory fee schedule will not include code G0001 and will include code 36415 Collection of venous blood by venipuncture. Code 36415 was released as not payable by Medicare in the 2005 HCPCS update file. However, code 36415 has now been activated to be payable by Medicare effective January 01, 2005. CPT code 36416 relating to a capillary specimen collection remains not payable by Medicare as a separate service.

Mapping Information for New and Revised Codes

• New code 82045 is priced at the same rate as code 83880
• New code 82656 is priced at the same rate as code 83516
• New code 83009 is priced at the same rate as code 83013
• New code 83630 is priced at the same rate as code 83516
• New code 84163 is priced at the same rate as code 84702
• New code 84166 is priced at the sum of the rates of codes 84165 and 87015
• New code 84450QW is priced at the same rate as code 84450
• New code 86064 is priced at the same rate as code 86359
• New code 86335 is priced at the sum of the rates of codes 86334 and 87015
• New code 86379 is priced at the same rate as code 86359
• New code 86587 is priced at the same rate as code 86359
• New code 87807 is priced at the same rate as code 87804