2007 Annual Update for Clinical Lab Fee Schedule
January 3, 2007Pathology services on the Physician fee schedule will not change in 2007, subsequent to Congress blocking the proposed 5% cut. The Medicare Part B fee schedule for 2007 provides a zero update.
Travel allowance to collect a specimen from a nursing home or homebound patient will also remain at the 2006 rates in 2007. For dates of service January 01, 2007 through December 2007, the fee for clinical laboratory travel code P9603 is $0.935 per mile and for code P9604 is $9.35 per flat rate trip basis.
Rates have been set for 11 new codes announced for 2007 through the cross walk process as follows:
Code | Description | Crosswalk Code | Fee |
82107 | AFP-L3 fraction isoform and total AFP | 83950 | $89.99 |
83698 | Lp-PLA2 | 83880 | $47.43 |
83913 | Molecular Diagnostics; RNA stabilization | 83907 | $18.66 |
86788 | Antibody, West Nile Virus, IgM | 86645 | $23.54 |
86789 | Antibody; West Nile Virus | 86644 | $20.11 |
87305 | Infectious Agent Ag; Enzyme Immunoassay, Qual or Semiquant; Aspergillus | 87327 | $16.76 |
87498 | Infectious Agent detection(DNA or RNA); amplified probe technique | 87496 | $49.04 |
87640 | Infectious Agent detection (DNA or RNA); Staph Aureus, amplified probe technique | 87651 | $49.04 |
87641 | Infectious Agent detection (DNA or RNA); Staph Aureus, Methicillin resistant, amplified probe technique | 87651 | $49.04 |
87653 | Infectious Agent detection (DNA or RNA); Strep, Group B, amp probe technique | 87651 | $49.04 |
87808 | Infectious agent Ag detection by immuno assay, Trichomonas vaginalis | 87802 | $16.76 |
You can access to the 2007 clinical laboratory fee schedule data file is available at the CMS web site.