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Fee Schedule

The clinical laboratory fee schedule files are located in the download section below:

  • 14CLAB.zip 742KB -- Revision to the Calendar Year (CY) 2014 Annual Update of the clinical laboratory fee schedule and laboratory services subject to reasonable charge payment. The update includes all changes identified in CR8695 & TDL140304. The full CLFS 2014 file, per CR 8695, is denoted by the EffJan1 notation. The partial CLFS 2014 file with the two revised codes, per TDL 140304, is denoted by the EffApr1 notation.
  • 13CLAB.zip 1MB -- Revised for January 2013.  The update includes all changes identified in CR8132. 
  • CLAB12.ZIP 1.02MB -- Revised for January 2012. The update includes all changes identified in CR7654.
  • 11CLABMAR.ZIP 1.01MB -- Revised March 2011. The update includes all changes identified in JSM 11259. Effective Date of April 1, 2011. Note: This file was created before 3/19/2011. As of that date, the Part B contractor number for Virginia has been modified from 00904 to 11302.
  • 11CLAB.ZIP 1.03MB -- Revised for January 2011. The update includes all changes identified in CR6991.
  • 10CLABAPR.ZIP 805KB -- Revised for the April 2010 Release. The update includes all changes identified in CR6852.
  • 10CLAB.ZIP 987KB -- Revised for January 2010.  The update includes all changes identified in CR6657.  
  • 09CLAB.ZIP 840KB -- Revised for the January 2009. The update includes all changes identified in CR6070.

Note: All files contain material copyrighted by the American Medical Association.  You are forbidden to download the files unless you read, agree to, and abide by the provisions of the copyright statement.  The copyright statement will appear before downloading files.

All files require UNZIP software.

The inclusion of a code and/or payment amount for a particular clinical diagnostic laboratory test does not imply that the test will be covered under the Medicare program.