0087 - Labs Subject to Part B Consolidated Billing - ESRD
Certain laboratory services and limited drugs and supplies will be subject to Part B consolidated billing and will no longer be separately payable when provided for ESRD beneficiaries by providers other than the renal dialysis facility. Claims will be recouped for Labs subject to ESRD Consolidated Billing that are bundled into the facility payment.
- Labs subject to ESRD Consolidated Billing, (CY 2014-2017),
Applicable Policy References
- Title XVIII of the Social Security Act, Section 1833(e)
- CMS Pub. 100-04, Medicare Claims Processing Manual, Chapter 8, Section 60.1
- ESRD PPS Consolidated Billing, /Medicare/Medicare-Fee-for-Service-Payment/ESRDpayment/Consolidated_Billing