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LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2026
2025
QW Tests

Physician Fee Schedule

2026
2026-QP
2025

OPPS Fee Schedule

2025-October
2025-July

ASC Fee Schedule

2025-July
2025-April

APC Codes

2025-October
2025-July

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-October
2025-July


CMS Transmittals



IMPORTANT NOTICE: CMS is late in posting the following updates for 1/1/26: OPPS, APC, DRG.
We will update this site as soon as files are posted.


Free Webinar: The Outlook for Medicare CLFS Rates

CodeMap® 12/31/2025: Free Webinar: The Outlook for Medicare CLFS Rates

Editor's Welcome:    Without Congressional action, scheduled cuts to the Clinical Laboratory Fee Schedule under PAMA will take effect on February 1, 2026.  In addition, the next three month reporting period for private-payer rates will begin.   Our friend and knowledgeable expert, Jondavid Klipp, President of Laboratory Economics will be moderating a free webinar discussing the outlook for new legislation and possible outcomes.   

Please see details below and register today!

Jerry Tavolino

 

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