Calendar Year 2022 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment – MLN Matters Number: MM12558 Revised

The CR revision shows the delay in the CLFS data reporting period for clinical diagnostic laboratory tests and also the delay in the application of the 15% percent phase-in reduction. The Article was revised to show those delays. The changes are in dark red font on pages 1-2. We also revised the CR release date, transmittal number, and the web address of the CR.

On December 10, 2021, the Protecting Medicare and American Farmers from Sequester Cuts Act (S. 610) delayed the reporting requirement and also delayed the application of the 15% phase-in reduction.

• The next data reporting period of January 1, 2023–March 31, 2023. It will be based on the original data collection period of January 1, 2019–June 30, 2019. After the next data reporting period, there’s a 3-year data reporting cycle for CDLTs that aren’t ADLTs (example: 2026, 2029)
• We’re extending the statutory phase-in of payment reductions resulting from private payor rate implementation through CY 2024. There’s a 0.0% reduction for CY 2021 and CY 2022. We won’t reduce payment by more than 15% for CYs 2023–2025.

CR Transmittal Number: R11186CP

Source: https://www.cms.gov/files/document/mm12558-calendar-year-cy-2022-annual-update-clinical-laboratory-fee-schedule-and-laboratory-services.pdf