Set 4: Clinical Lab Fee Schedule

Provides you with the 800-plus outpatient clinical laboratory services from the Medicare Clinical Lab Fee Schedule, by carrier. The actual amount allowed by Medicare is provided to you.

Data Elements: Medicare carrier, Medicare locality, CPT®/HCPCS code, modifier, code description, 60% National Limitation amount, and 60% payment amount for the specified carrier.

All data sets are available as .txt files, available to download from the web. Data sets are available via the web services team. Call for pricing. Custom formats may require custom pricing.

CPT is a registered trademark of the American Medical Association.