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Reimbursement Information
Clinical Laboratory Products
Reimbursement Information
 
Catalog
Number
Test Description

AMA Recommended
CPT Code

Average
Reimbursement
Pregnancy
FHC-101
iPregnancy™ hCG Strip Tests
Urine Testing - 81025
$8.84
FHC-102
iPregnancy™ hCG Cassette Tests
Urine Testing - 81025
$8.84
FHC-114
iPregnancy™ hCG Dip Device Tests
Urine Testing - 81025
$8.84
FHC-202
iPregnancy™ hCG Combo (Urine/Serum) Tests
Serum Testing - 84703
$10.49
 
Ovulation
FLH-103
iOvulation™ LH Ovulation Predictor Midstream, 5 Day Test Kit
84830
$14.02
 
 
Strep A
I-ST-501
iStrep™ Strep A Strip - Waived
87880QW
$16.76
I-ST-502
iStrep™ Strep A Cassette
87880
$16.76
I-ST-502T
iStrep™ Strep A One-Step - Waived
87880QW
$16.76
 
H.Pylori
I-HP-402
iScreen™ h. Pylori
86318
$18.09
iScreen™ h. Pylori - Waived, Whole Blood
86318QW
$18.09
 
Mono
I-MO-402
iScreen™ Mono
86308
$7.23
iScreen™ Mono - Waived, Whole Blood
86308QW
$7.23
 
Drugs of Abuse
Varies
Drug Screen: Multiple Drug Classes *QW
80100
$20.32
Varies
Drug Screen: Single Drug Class *QW
80101
$19.24

*Drug screening for routine work related issues or testing related to chemical dependency treatment are not covered. This test reports qualitative screening to detect the presence of specific drugs or classes of drugs.

** Add "QW" Modifier only to denote use of CLIA Waived product for Medicare and Medicaid Patients.

Important Note: The list of CPT Codes and Average Reimbursement (estimates) are provided as suggestions and estimates only. The use and implementation of CPT codes and reimbursement levels on a state and/or federal basis may vary greatly in a given area and change over time. The relevant Medicare and/or Medicaid agencies may also take a view that the suggested CPT codes and/or reimbursement levels set forth herein are not applicable. Thus, the accuracy of these suggested CPT codes and reimbursement levels cannot be guaranteed. Please contact your own regional third party payers to confirm the correct CPT codes and reimbursement levels.

For state by state fee schedule go to www.cms.hhs.gov


 
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