Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens
This Change Request (CR) revises the payment of travel allowances when billed on a per mileage basis using Health Care Common Procedure Coding System (HCPCS) code P9603 and when billed on a flat rate basis using HCPCS code P9604 for calendar year 2021.
Medicare Part B allows payment for a specimen collection fee and travel allowance, when medically necessary, for a laboratory technician to draw a specimen from either a nursing home patient or homebound patient under Section 1833(h)(3) of the Act. Payment for these services is made based on the clinical laboratory fee schedule.
This recurring update notification applies to chapter 16, section 60.2 of the Internet Only Manual.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 09, 2021
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