CodeMap® Reimbursement Information | CodeMap® Website | Disclaimers

National
2025 Laboratory Fee Schedule
Fee schedules do not reflect 2% Payment Adjustment (Sequestration).
Click here for more information.

Index:

  • BioPlex 2200 System
  • Clinical Microbiology Testing
  • Diabetes Monitoring
  • Drugs of Abuse Testing
  • Evolis™ Microplate System
  • Genetic Disorders Testing - Newborn Screening
  • Genetic Disorders Testing - Thalassemia and Hemoglobinopathy
  • Microplate Reader/Washer System
  • Other HIV Assays
  • PhD™ System

    • Clinical Microbiology Testing

    Opportunistic Diseases
    Product Name Procedure Code National Limit
    Platelia™ Aspergillus EIA Click here to login.
    MonoFluo™ Pneumocystis jirovecii (IFA) Click here to login.

    Respiratory Diseases
    Product Name Procedure Code National Limit
    MonoFluo™ Legionella pneumophila (IFA) Click here to login.
    PATHfinder™ RSV EIA Click here to login.

    Sexually Transmitted Diseases
    Product Name Procedure Code National Limit
    PATHfinder™ Chlamydia Microplate EIA Click here to login.
    PATHfinder™ Chlamydia trachomatis direct specimen (DFA) Click here to login.
    PATHfinder™ Chlamydia Culture Confirmation System Click here to login.
    PATHfinder™ Herpes Simplex Virus Types 1 & 2 Click here to login.

    Others
    Product Name Procedure Code National Limit
    MRSA Select™ (from nasal swabs and wounds) Click here to login.
    Pastorex™ Staph-Plus , latex agglutination Click here to login.
    VRESelect™ (from fecal specimens and rectal swabs) Click here to login.
    SaSelect™ Click here to login.
    CandiSelect™ Click here to login.
    UriSelect™ 4 Medium Click here to login.
    Culture, bacterial; quantitative colony count, urine Click here to login.
    Negative Initial Culture; Culture, presumptive, pathogenic organisms, screening only; Click here to login.
    Positive initial culture; Culture, bacterial; with isolation and presumptive identification of each isolate, urine Click here to login.

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     All information on this web site is compiled directly from information obtained from the Center for Medicare and Medicaid Services (CMS) and from its Contractors.

    CodeMap® has made every reasonable effort to ensure the accuracy of the information contained on this web site. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. CodeMap® makes no representation, warranty, or guarantee that this compilation of Medicare information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.

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