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LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-January
2024-October

ASC Fee Schedule

2025-January
2024-October

APC Codes

2025-January
2024-October

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-January
2024-October


CMS Transmittals



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Editor's Welcome:

CMS has published the 2004 changes to the Medicare Laboratory Fee Schedule which will become effective Jan 1, 2004.  As part of the 2004 fee schedule, they have addressed several problems with existing hematology codes which were introduced last year. Today, we will discuss these changes in detail.

Also, next week there will be no CodeMap Compliance Briefing in observance of the Thanksgiving holiday. Please continue to send us your comments, questions, and suggestions. We will try to answer all email questions individually or in future CodeMap Compliance Briefings.

Sincerely,

Dr. Charles B. Root

Present Hematology CPT Coding

As established in last year's CPT and Medicare Laboratory Fee Schedule, only two CPT codes are presently available to report automated CBCs, 85025 (CBC with automated WBC differential), and 85027 (CBC without automated WBC differential). Both of these codes include the following CBC components and may not be unbundled if all components are performed.


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