Medicare Claims Processing Manual (Pub. 100-04), Ch. 16 § 90.1
Laboratory Tests Utilizing Automated Equipment
90.1 - Laboratory Tests Utilizing Automated Equipment
(Rev. 4299; Issued: 05-03-19; Effective: 01-01-19; Implementation: 10-07-19)
B3-5114, HO-437, A3-3628
Clinical laboratory tests are covered under Medicare if they are reasonable and necessary
for the diagnosis or treatment of an illness or injury. Because of the numerous
technological advances and innovations in the clinical laboratory field and the increased
availability of automated testing equipment, no distinction is generally made in
determining payment for individual tests because of either (1) the sites where the service
is performed, or (2) the method of the testing process used, whether manual or
automated. Whether the test is actually performed manually or with automated
equipment, the services are considered similar and the payment is the same.