MLN Matters Article MM12080 (New): Calendar Year (CY) 2021 Annual Update for Clinical Laboratory Fee Schedule and Services Subject to Reasonable Charge
This Article comprises Sub-regulatory guidance for clinical diagnostic laboratories that submit claims to Medicare Administrative Contractors (MACs) for laboratory services for Medicare beneficiaries. It provides instructions for CY 2021 Clinical Laboratory Fee Schedule (CLFS), mapping for new codes for clinical laboratory tests, and updates for laboratory costs subject to the reasonable charge payment. MLN Matters (MM) Articles are based on Change Requests (CRs). Special Edition (SE) Articles clarify existing policy. In this case, this Article is based on content within CR12027 that is posted on the CMS website.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 18, 2020
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.