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Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients

This Change Request (CR) implements Section 732 of the Medicare Modernization Act that extends the provision of Section 542 of the Benefits Improvement and Protection Act (BIPA) for services furnished in 2005 and 2006. Section 542 of BIPA allows the carrier to continue to pay independent laboratories under the physician fee schedule for the technical component of physician pathology services furnished to patients of a covered hospital. This CR also adds previous material included in the Medicare Carriers Manual but omitted from the Internet Only Manual, Pub. 100-04, Claims Processing.

Download the Guidance Document

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

Issue Date: November 26, 2004

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.