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Fee Schedule

Clinical laboratory fee schedule files:

  • 16CLAB - Opens in a new window  - External Link Policy - Opens in a new window (ZIP, 628KB) -- Revised for January 2016.  The update includes all changes identified in CR 9465.
  • 15CLAB - Opens in a new window  - External Link Policy - Opens in a new window (ZIP, 769KB) -- Revised for January 2015.  The update includes all changes identified in CR 9028. Per CR 9028, the full CLFS 2015 file, effective January 1st, is denoted by the EffJan1 notation.
  • 14CLAB - Opens in a new window  - External Link Policy - Opens in a new window (ZIP, 742KB) -- Revision to the Calendar Year 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, and CR 8837. Per CR 8695, the full CLFS 2014 file, effective January 1st, is denoted by the EffJan1 notation. Per TDL 140304 & CR 8837, the partial CLFS 2014 file, with the three codes effective April 1st, is denoted by the EffApr1 notation.
  • 13CLAB - Opens in a new window  - External Link Policy - Opens in a new window (ZIP, 1MB) -- Revised for January 2013.  The update includes all changes identified in CR8132. 
  • 12CLAB - Opens in a new window  - External Link Policy - Opens in a new window (ZIP, 1.02MB) -- Revised for January 2012. The update includes all changes identified in CR7654.
  • 11CLABMAR - Opens in a new window  - External Link Policy - Opens in a new window (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 was modified from 00904 to 11302.
  • 11CLAB - Opens in a new window  - External Link Policy - Opens in a new window (ZIP, 1.03MB) -- Revised for January 2011. The update includes all changes identified in CR6991.
  • 10CLABAPR - Opens in a new window  - External Link Policy - Opens in a new window (ZIP, 805KB) -- Revised for the April 2010 Release. The update includes all changes identified in CR6852.
  • 10CLAB - Opens in a new window  - External Link Policy - Opens in a new window (ZIP, 987KB) -- Revised for January 2010.  The update includes all changes identified in CR6657.  

Archive – contains clinical laboratory fee schedule files for years 2005 through 2009.

Note: Including a code and/or payment amount for a particular clinical diagnostic laboratory test does not imply the test will be covered by Medicare.