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Clinical Laboratory Fee Schedule (CLFS) - Instructions to Remove Co-insurance/Deductible Multi-Carrier System (MCS) Logic

This CR removes any remaining Multi-Carrier System (MCS) logic so that co-insurance/deductible is never applied for Clinical Laboratory Fee Schedule (CLFS) payable services no matter the Place Of Service (POS) code billed on the claim.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 09, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.