Routine Venipuncture (Non-Medicare Fee Schedule) Lab Tests
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What’s Changed?
We updated the improper payment rate for the 2024 reporting period.
Affected Providers
Physicians, non-physician practitioners, and labs that bill for routine venipuncture lab tests.
Background
According to the 2024 Medicare Fee-for-Service Supplemental Improper Payment Data, the improper payment rate for routine venipuncture lab tests is 10.1%, with a projected improper payment amount of $21.5 million.
Preventing Denials
You must meet specific requirements when ordering diagnostic lab tests.
Disclaimers
Page Last Modified:
11/25/2025 12:19 PM