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

    • PhD™ System

    Autoimmune Assays
    Product Name Procedure Code National Limit
    Antinuclear antibody screen Click here to login.
    Antinuclear antibody titer Click here to login.
    Anti-dsDNA antibody screen Click here to login.
    Anti-dsDNA antibody titer Click here to login.
    Anti-ssDNA antibody Click here to login.
    Anti-Sm antibody Click here to login.
    Anti-RNP antibody Click here to login.
    Anti-Sm/RNP antibody Click here to login.
    Anti-SS-A antibody Click here to login.
    Anti-SS-B antibody Click here to login.
    Anti-Scl-70 antibody Click here to login.
    Anti-Jo-1 antibody Click here to login.
    Anti-Centromere antibody Click here to login.
    Anti-parietal cell antibody Click here to login.
    Anti-mitochondrial antibody Click here to login.
    Anti-smooth muscle antibody Click here to login.
    Anti-neutrophil cytoplasmic antibody Click here to login.
    Anti-CCP antibody Click here to login.
    Anti-Cardiolipin IgG antibody Click here to login.
    Anti-Cardiolipin IgM antibody Click here to login.
    Anti-Cardiolipin IgA antibody Click here to login.
    Anti-_2 glycoprotein I IgG antibody Click here to login.
    Anti-_2 glycoprotein I IgM antibody Click here to login.
    Anti-_2 glycoprotein I IgA antibody Click here to login.
    Anti-Phosphatidylserine IgG antibody Click here to login.
    Anti-Phosphatidylserine IgM antibody Click here to login.
    Anti-Phosphatidylserine IgA antibody Click here to login.
    Anti-tTG IgA (tissue transglutaminase) antibody Click here to login.
    Anti-tTG IgG (tissue transglutaminase) antibody Click here to login.
    Anti-Gliadin IgA antibody Click here to login.
    Anti-Gliadin IgG antibody Click here to login.
    ASCA IgA (Anti-Saccharomyces cerevisiae antibody) Click here to login.
    ASCA IgG (Anti-Saccharomyces cerevisiae antibody) Click here to login.
    ENA Screen Click here to login.

    Infectious Disease Assays
    Product Name Procedure Code National Limit
    Rubella IgG EIA Click here to login.
    Rubella IgM EIA Kit Click here to login.
    Toxoplasma IgG EIA Click here to login.
    Toxoplasma IgM EIA Click here to login.
    CMV IgG EIA Click here to login.
    CMV IgM EIA Click here to login.
    HSV (1 & 2) IgG EIA Click here to login.
    VZV IgG EIA Click here to login.
    Measles IgG EIA Click here to login.
    Mumps IgG EIA Click here to login.
    EBV NA IgG EIA Click here to login.
    EBV VCA IgG EIA Click here to login.
    EBV VCA IgM EIA Click here to login.
    H. Pylori Detect IgA EIA Click here to login.
    H. Pylori Detect IgG EIA Click here to login.
    Anti-Borrelia (Lyme) EIA Click here to login.

    BIO-RAD and BIOPLEX are trademarks of Bio-Rad Laboratories, Inc. in certain jurisdictions.

     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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