2009 Automated Multi-Channel Test and Lab Panel Pricing

Pricing for automated multi-channel tests and organ or disease panels is based on the total number of automated tests performed on the same day for the same patient. Duplicate tests will not be paid unless billed with a 91 modifier. Pricing examples include:

  • If five individual automated tests are billed, payment is made based on five tests.
  • If an organ and disease panel that includes 7 automated tests is billed with an individual automated test that is not included in the panel, payment is based on 8 tests.
  • If an organ and disease panel that includes 7 automated tests is billed with an individual automated test that is included in the panel, payment will be made based on 7 tests.
  • If two or more panel tests are billed that include duplicate individual tests, each duplicated test is paid only once. For example, if one panel includes 5 tests and the other includes 7 tests but one of the individual tests is included in both panels, payment will be based on 11 tests.

Automated Test Pricing can be found on the Clinical Lab Fee Schedule using the following codes:

Number of Automated Tests ATP Code used for pricing
1-2 ATP02
3 ATP03
4 ATP04
5 ATP05
6 ATP06
7 ATP07
8 ATP08
9 ATP09
10 ATP10
11 ATP11
12 ATP12
13-16 ATP16
17-18 ATP18
19 ATP19
20 ATP20
21 ATP21
22 ATP22
23 ATP23

Page Last Updated: Monday, 11-Jul-2011 13:42:26 CDT