New Legislation to Allow Independent Laboratory Billing for the Technical Component of Physician Pathology Services for Hospital Inpatients and Outpatients
This Change Request (CR) implements provider education activities to
notify the independent laboratories eligible to bill for the technical component of physician pathology
services provided in an inpatient or outpatient setting that they may continue to do so through December 31,
2010, regardless of the beneficiary’s hospitalization status (inpatient or outpatient), in accordance with
Patient Protection and Affordable Care Act (PPACA). It also instructs the A/B Mac/carriers not to
implement the business requirements of CR 5347 with respect to action for physician pathology services
(See CR 5347, Transmittal 1221, issued and April 18, 2007).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 09, 2010
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