CMS Releases Codes Up for Review at the CLFS Public Meeting

April 25, 2019


The Centers for Medicare and Medicaid Services (CMS) has released its list of new and reconsidered Clinical Diagnostic Laboratory codes for review at the CY 2020 Lab Public Meeting.

This year’s list includes four codes for reconsideration; three new molecular pathology codes; and 41 new Proprietary Lab Analysis codes. CMS will review the new codes in order to determine whether to set initial payment rates using crosswalking or to allow the Medicare Administrative Contractors to set payment rates using gapfill. Preliminary determinations will be released in September and final determinations–along with CY 2020 payment rates–will be released in November.

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