Next CLFS Data Reporting Period for Clinical Diagnostic Laboratory Tests

Synopsis:

• The next data reporting period is January 1, 2025 – March 31, 2025. It will be based on the original data collection period of January 1, 2019 – June 30, 2019.
• We’ll apply a 0% payment reduction for CY 2024 so that a CDLT that isn’t an ADLT may not be reduced compared to the payment amount for that test in CY 2023. For CYs 2025-2027, payment may not be reduced by more than 15% per year compared to the payment amount established for a test the preceding year.
• After the next data reporting period, there’s a 3-year data reporting cycle for CDLTs that aren’t ADLTs, for example, 2028, 2031.

New Codes Effective July 1, 2024 – Proprietary Laboratory Analysis (PLAs) and Additional New Codes: 0450U-0475U

Deleting CPT codes 0204U and 0353U as of July 1, 2024

Source: https://www.cms.gov/files/document/mm13613-clinical-laboratory-fee-schedule-laboratory-services-reasonable-charge-payment-quarterly.pdf