State Operations Manual (Pub. 100-07), Ch. 6 § 6006.3
Certificate for Provider-performed Microscopy (PPM)
6006.3 – Certificate for Provider-performed Microscopy (PPM)
Procedures
(Rev. 230; Issued: 07-11-25; Effective: 07-11-25; Implementation: 07-11-25)
A Certificate for Provider-performed Microscopy (PPM) procedures is issued to a
laboratory in which a licensed physician, midlevel practitioner, or dentist performs
only the microscopy tests listed at 42 CFR 493.19(c) or performs only the listed
microscopy tests in any combination with waived tests during a patient’s visit. A
certificate for PPM procedures is valid for a 2-year period. Upon certificate
expiration, and after payment of appropriate fees, the laboratory’s certificate will be
renewed for another 2-year period. The laboratory that holds a PPM certificate is
subject to quality system requirements for nonwaived tests. However, such a
laboratory is not routinely inspected but may be included in an inspection sample of
non-waived laboratories or a complaint investigation by SA surveyors or CMS.