[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-199760-en":3,"doc-seo-199760-105":31,"detail-sidebar-cat-0-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},199760,1099514067415,"Rowan","https://ap-avatar.wpscdn.com/avatar/100002539d78ffe74a7?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779092875211072502",7,"Healthcare","CY 2025 Clinical Lab Fee Schedule - Effective 04/01/25-03/31/26","Clinical lab fee schedule covering HCPCS and CPT-modified lab services for the period 04/01/2025 through 03/31/2026. Provides itemized rates for venipuncture and common laboratory panels, including metabolic, electrolyte, lipid, renal, hepatic, obstetric, and acute hepatitis testing. Includes quantitative drug assays and therapeutic drug monitoring for multiple medications, plus pathology consultation codes and urinalysis services with automated and microscopy options. Also lists endocrine stimulation panels, pregnancy testing, and selected genetic/genotyping procedures with specified state rates.","Clinical Lab Fee Schedule  \nEffective 04/01/25-03/31/26  \nHCPCS / WV Rate  \nCPT Mod SHORTDESC 4/1/2025-3/31/2026 Notes  \n36415 Coll venous bld venipuncture $ 9.09 Exception to 90% of Medicare, pay 100%  \n80047 QW Metabolic panel ionized ca $ 12.36  \n80047 Metabolic panel ionized ca $ 12.36  \n80048 QW Metabolic panel total ca $ 7.61  \n80048 Metabolic panel total ca $ 7.61  \n80050 General health panel $ 45.12 Priced per BMS, Not priced by CMS or RBRVS  \n80051 QW Electrolyte panel $ 6.31  \n80051 Electrolyte panel $ 6.31  \n80053 QW Comprehen metabolic panel $ 9.50  \n80053 Comprehen metabolic panel $ 9.50  \n80055 Obstetric panel $ 43.03  \n80061 QW Lipid panel $ 12.05  \n80061 Lipid panel $ 12.05  \n80069 QW Renal function panel $ 7.81  \n80069 Renal function panel $ 7.81  \n80074 Acute hepatitis panel $ 42.87  \n80076 Hepatic function panel $ 7.35  \n80081 Obstetric panel inc hiv tstg $ 67.37  \n80143 Drug assay acetaminophen $ 16.78  \n80145 Drug assay adalimumab $ 34.71  \n80150 Assay of amikacin $ 13.57  \n80151 Drug assay amiodarone $ 16.78  \n80155 Drug assay caffeine $ 34.71  \n80156 Assay carbamazepine total $ 13.11  \n80157 Assay carbamazepine free $ 11.93  \n80158 Drug assay cyclosporine $ 16.25  \n80159 Drug assay clozapine $ 18.14  \n80161 Asy carbamazepin 10,11-epxid $ 16.78  \n80162 Assay of digoxin total $ 11.95  \n80163 Assay of digoxin free $ 11.95  \n80164 Assay dipropylacetic acd tot $ 12.19  \n80165 Dipropylacetic acid free $ 12.19  \n80167 Drug assay felbamate $ 16.78  \n80168 Assay of ethosuximide $ 14.71  \n80169 Drug assay everolimus $ 12.36  \n80170 Assay of gentamicin $ 14.74  \n80171 Drug screen quant gabapentin $ 19.50  \n80173 Assay of haloperidol $ 14.20  \n80175 Drug screen quan lamotrigine $ 11.93  \n80176 Assay of lidocaine $ 13.22  \n80177 Drug scrn quan levetiracetam $ 11.93  \n80178 QW Assay of lithium $ 5.95  \n80178 Assay of lithium $ 5.95  \n80179 Drug assay salicylate $ 16.78  \n80180 Drug scrn quan mycophenolate $ 16.25  \n80181 Drug assay flecainide $ 16.78  \n80183 Drug scrn quant oxcarbazepin $ 11.93  \n80184 Assay of phenobarbital $ 13.77  \n80185 Assay of phenytoin total $ 11.93  \n80186 Assay of phenytoin free $ 12.38  \n80187 Drug assay posaconazole $ 24.40  \n80188 Assay of primidone $ 14.93  \n80189 Drug assay itraconazole $ 24.40  \n80190 Assay of procainamide $ 54.00  \n80192 Assay of procainamide $ 15.08  \n80193 Drug assay leflunomide $ 34.71  \n80194 Assay of quinidine $ 13.14  \n80195 Assay of sirolimus $ 12.36  \n80197 Assay oftacrolimus $ 12.36  \n80198 Assay of theophylline $ 12.73  \n80199 Drug screen quant tiagabine $ 24.40  \n80200 Assay of tobramycin $ 14.52  \n80201 Assay of topiramate $ 10.73  \n80202 Assay of vancomycin $ 12.19  \n80203 Drug screen quant zonisamide $ 11.93  \n80204 Drug assay methotrexate $ 34.71  \n80210 Drug assay rufinamide $ 24.40  \n80220 Drug asy hydroxychloroquine $ 16.78  \n80230 Drug assay infliximab $ 34.71  \nClinical Lab Fee Schedule  \nEffective 04/01/25-03/31/26  \nHCPCS / WV Rate  \nCPT Mod SHORTDESC 4/1/2025-3/31/2026 Notes  \n80235 Drug assay lacosamide $ 24.40  \n80280 Drug assay vedolizumab $ 34.71  \n80285 Drug assay voriconazole $ 24.40  \n80299 Quantitative assay drug $ 16.78  \n80305 Drug test prsmv dir opt obs $ 11.34  \n80306 Drug test prsmv instrmnt $ 15.43  \n80307 Drug test prsmv chem anlyzr $ 55.93  \n80400 Acth stimulation panel $ 29.36  \n80402 Acth stimulation panel $ 78.26  \n80406 Acth stimulation panel $ 70.43  \n80408 Aldosterone suppression eval $ 112.95  \n80410 Calcitonin stimul panel $ 72.33  \n80412 Crh stimulation panel $ 721.46  \n80414 Testosterone response panel $ 46.48  \n80415 Tot estradiol response panel $ 50.30  \n80416 Renin stimulation panel $ 188.39  \n80417 Renin stimulation panel $ 39.59  \n80418 Pituitary evaluation panel $ 521.53  \n80420 Dexamethasone panel $ 145.69  \n80422 Glucagon tolerance panel $ 41.46  \n80424 Glucagon tolerance panel $ 45.45  \n80426 Gonadotropin hormone panel $ 133.57  \n80428 Growth hormone panel $ 60.03  \n80430 Growth hormone panel $ 116.40  \n80432 In","cbCairpTzsT11ASW","https://ap.wps.com/l/cbCairpTzsT11ASW","pdf",203137,4,1,25,"English","en",105,"# Covered fee period\n## HCPCS/CPT-modified rates\n## Notes and pricing basis","[{\"question\":\"What is the effective date range for the clinical lab fee schedule?\",\"answer\":\"The schedule is effective from 04/01/2025 through 03/31/2026.\"},{\"question\":\"Which types of laboratory services are included in the fee schedule?\",\"answer\":\"It includes venipuncture, laboratory panels (metabolic, electrolyte, lipid, renal, hepatic, obstetric), urinalysis variants, pathology consultation, endocrine stimulation panels, and genetic/genotyping tests.\"},{\"question\":\"Does the schedule include drug testing and therapeutic drug monitoring?\",\"answer\":\"Yes. It provides rates for quantitative drug assays and drug screening/assays for multiple medications, each listed with a corresponding HCPCS/CPT code and amount.\"}]","CY 2025 Clinical Lab Fee Schedule - Effective 04/01/25-03/31/26 | PDF",1788506938,63,{"code":4,"msg":32,"data":33},"ok",{"site_id":25,"language":24,"slug":34,"title":13,"keywords":35,"description":14,"schema_data":36,"social_meta":87,"head_meta":89,"extra_data":91,"updated_unix":29},"cy-2025-clinical-lab-fee-schedule-effective-040125-033126","",{"@graph":37,"@context":86},[38,54,69],{"@type":39,"itemListElement":40},"BreadcrumbList",[41,45,49,52],{"item":42,"name":43,"@type":44,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":46,"name":47,"@type":44,"position":48},"https://docshare.wps.com/document/","Document",2,{"item":50,"name":12,"@type":44,"position":51},"https://docshare.wps.com/document/healthcare/",3,{"item":53,"name":13,"@type":44,"position":20},"https://docshare.wps.com/document/cy-2025-clinical-lab-fee-schedule-effective-040125-033126/199760/",{"url":53,"name":13,"@type":55,"author":56,"headline":13,"publisher":58,"fileFormat":61,"inLanguage":24,"description":14,"dateModified":62,"datePublished":63,"encodingFormat":61,"isAccessibleForFree":64,"interactionStatistic":65},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":42,"name":59,"@type":60},"DocShare","Organization","application/pdf","2026-09-07","2026-09-04",true,{"@type":66,"interactionType":67,"userInteractionCount":20},"InteractionCounter",{"@type":68},"ViewAction",{"@type":70,"mainEntity":71},"FAQPage",[72,78,82],{"name":73,"@type":74,"acceptedAnswer":75},"What is the effective date range for the clinical lab fee schedule?","Question",{"text":76,"@type":77},"The schedule is effective from 04/01/2025 through 03/31/2026.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"Which types of laboratory services are included in the fee schedule?",{"text":81,"@type":77},"It includes venipuncture, laboratory panels (metabolic, electrolyte, lipid, renal, hepatic, obstetric), urinalysis variants, pathology consultation, endocrine stimulation panels, and genetic/genotyping tests.",{"name":83,"@type":74,"acceptedAnswer":84},"Does the schedule include drug testing and therapeutic drug monitoring?",{"text":85,"@type":77},"Yes. It provides rates for quantitative drug assays and drug screening/assays for multiple medications, each listed with a corresponding HCPCS/CPT code and amount.","https://schema.org",{"og:url":53,"og:type":88,"og:title":13,"og:site_name":59,"og:description":14},"article",{"robots":90,"canonical":53},"index,follow",{"doc_id":7,"site_id":25},{"code":4,"msg":5,"data":93},[94,98,102,106,111,116,119,124,129,132,136],{"id":21,"doc_module":4,"doc_module_name":47,"category_name":95,"show_sort_weight":96,"slug":97},"Story & Novel",90,"story-novel",{"id":48,"doc_module":4,"doc_module_name":47,"category_name":99,"show_sort_weight":100,"slug":101},"Literature",80,"literature",{"id":20,"doc_module":4,"doc_module_name":47,"category_name":103,"show_sort_weight":104,"slug":105},"Exam",70,"exam",{"id":107,"doc_module":4,"doc_module_name":47,"category_name":108,"show_sort_weight":109,"slug":110},5,"Comic",60,"comic",{"id":112,"doc_module":4,"doc_module_name":47,"category_name":113,"show_sort_weight":114,"slug":115},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":47,"category_name":12,"show_sort_weight":117,"slug":118},40,"healthcare",{"id":120,"doc_module":4,"doc_module_name":47,"category_name":121,"show_sort_weight":122,"slug":123},8,"Research & Report",30,"research-report",{"id":125,"doc_module":4,"doc_module_name":47,"category_name":126,"show_sort_weight":127,"slug":128},9,"Religion & Spirituality",20,"religion-spirituality",{"id":127,"doc_module":4,"doc_module_name":47,"category_name":130,"show_sort_weight":127,"slug":131},"World Cup","world-cup",{"id":133,"doc_module":4,"doc_module_name":47,"category_name":134,"show_sort_weight":133,"slug":135},10,"Lifestyle","lifestyle",{"id":137,"doc_module":4,"doc_module_name":47,"category_name":138,"show_sort_weight":107,"slug":139},19,"General","general"]