Medicare Claims Processing Manual (Pub. 100-04), Ch. 16 § 40.6.2
Claims Processing for Separately Billable Tests for ESRD Beneficiaries
40.6.2 - Claims Processing for Separately Billable Tests for ESRD Beneficiaries
(Rev. 1655, Issued: 12-31-08, Effective: 01-01-09, Implementation: 02-02-09)
Clinical laboratory tests can be performed individually or in predetermined groups on automated profile
equipment. If a test profile is performed see §40.6.1. If a clinical laboratory test is performed individually,
see §40.6.2.1. However the tests are performed in the laboratory setting, the services must be billed
individually, and must not be billed in a group as an organ or disease panel.