Ill. Admin. Code tit. 89, § 140.433 - Payment for Clinical Laboratory Services
a) Payment for allowable laboratory services
includes payment for collection and handling of specimens by laboratory
personnel, use of laboratory equipment and supplies, and the written report of
test results to the referring practitioner.
b) Payment for allowable laboratory services
provided to recipients who are not eligible for Medicare Part B benefits is
based on the laboratory's usual and customary charges within the limitations
established by the Department (see Section
140.400 ).
c) For recipients eligible for Medicare Part
B Coverage, payment is made on deductible and coinsurance amounts up to the
limitations established by the Department for the service.
d) Payment for three or more blood
chemistries performed on the same specimen is made on a basis related to the
use of automated equipment.
e) When
the laboratory performs profile testing, it must bill the Department by
profile. The Department considers two or more thyroid tests performed on the
same specimen to be profile testing.
Notes
Amended at 23 Ill. Reg. 7122, effective June 1, 1999
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