Separately Billable ESRD Laboratory Tests Furnished by Hospital-Based

40.6.2.1 - Separately Billable ESRD Laboratory Tests Furnished by Hospital-Based Facilities (Rev. 3425, Issued: 12-18-15, Effective: 01-01-16, Implementation: 01-04-16) Independent laboratories and independent dialysis facilities with the appropriate clinical laboratory certification in accordance with CLIA may be paid for ESRD clinical laboratory tests that are separately billable. The laboratories and independent dialysis facilities are paid for separately billable clinical laboratory tests according to the Medicare laboratory fee schedule for independent laboratories. (See §40.3 for details on Part B hospital billing rules for laboratory services.) Hospital-based laboratories providing separately billable laboratory services to dialysis patients of the hospital’s dialysis facility or any other dialysis facility bill and are paid in accordance with the hospital outpatient laboratory provisions in Chapter 16, section 40.3.