Medicare Claims Processing Manual (Pub. 100-04), Ch. 16 § 30.4
Payment for Review of Laboratory Test Results by Physician
30.4 - Payment for Review of Laboratory Test Results by Physician
(Rev. 1, 10-01-03)
B3-5114.2
Reviewing results of laboratory tests, phoning results to patients, filing such results, etc., are Medicare covered
services. Payment is included in the physician fee schedule payment for the evaluation and management (E
and M) services to the patient. Visit services entail a wide range of components and activities that may vary
somewhat from patient to patient. The CPT lists different levels of E and M services for both new and
established patients and describes services that are included as E and M services. Such activities include
obtaining, reviewing, and analyzing appropriate diagnostic tests.