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CMS Signals Clinical Lab Fee Approach For Molecular Test Codes

This article was originally published in The Gray Sheet

Executive Summary

The agency did not make any final decisions in a recent proposal tied to its annual clinical lab fee setting process, but CMS gave a sense that at least some of the 101 newly created genetic test codes would be paid for under the lab fee schedule, rather than the physician fee schedule, using the “gap-fill” process.

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