21 Apr 2025

🏥Medicare's Public Meeting on New Clinical Lab Test Codes for 2026

Medicare Program: Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes for the Clinical Laboratory Fee Schedule for Calendar Year 2026-June 27, 2025

Summary

This notice announces a public meeting to receive comments and recommendations (including data on which recommendations are based) on the appropriate basis for establishing payment amounts for new or substantially revised Healthcare Common Procedure Coding System codes being considered for Medicare payment under the Clinical Laboratory Fee Schedule for calendar year 2026. This meeting also provides a forum for those who submitted certain reconsideration requests regarding final determinations made last year on new test codes and for the public to provide comment on the requests.

Agencies

  • Health and Human Services Department
  • Centers for Medicare & Medicaid Services

Business Impact ?

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The notice encourages public input on new clinical diagnostic laboratory test codes for Medicare reimbursement, directly impacting financial operations for businesses in the healthcare sector, particularly labs. They must prepare for potential changes in payment structures and pricing strategies, as outcomes from the meeting could dictate future revenue.

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