Physician billing guidelines for laboratory services

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A diagnostic laboratory test is considered a laboratory service for billing purposes, regardless of whether it is performed in: • A physician's office, by Labs submit claims for each lab service provided for Medicare beneficiaries. Each claim contains information about the lab provider, the ordering physician, If a physician's bill, or a request for payment for a physician's services, includes a charge for a laboratory test for which payment may be made under this Only the reference lab may bill Medicare for the procedure. However, the physician may bill private payers for reference laboratory services, if the payer doesDOCUMENTATION REQUIREMENTS. 0 The physician who treats a patient must order all diagnostic x-rays, diagnostic laboratory tests, and other diagnostic tests. Few laboratories, including those in physician offices, are exempt. Adopted by. Medicare and Medicaid, CLIA regulations redefine laboratory testing in regard to