Emerging Trend Xylazine – 2022
Xylazine Flyer
Small Volume Blood Flyer
ANNUAL NOTICE TO PHYSICIANS
January 1, 2023 As part of the Physicians Toxicology Laboratory (PTL) Medicare Compliance Plan, PTL annually reviews aspects of ordering tests for Medicare patients and billing for those tests. Please review this information and contact us at compliance@labxdiagnostics.com or 1-800-240-2074 if you have any questions relating to this information. CPT Codes The CPT codes that are submitted to Centers for Medicare and Medicaid Services (CMS) must be valid at the time the service is provided. 2023 CPT codes take effect on January 1, 2023. All discontinued codes will be invalid after that date. PTL will be using 2023 CPT codes starting on January 1, 2023. PTL bills Medicare for tests using the CPT codes listed in our Practioners Manual and Fee Schedule. The 2023 Medicare Clinical Laboratory Fee Schedule can be accessed at: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Clinical-Laboratory-Fee-Schedule-Fact-Sheet-ICN006818.pdf Medicare Coverage of Laboratory Testing When ordering laboratory tests that are billed to Medicare / Medicaid or other federally-funded programs, the following requirements may apply: Reflex Policy Presumptive screening is performed for certain drug classes/metabolites. If a presumptive screen is positive, definitive testing will be performed. If the presumptive screen is negative, definitive testing will only be performed if ordered individually by the physician due to medical necessity. Additional Information Clinical Consultant: Appropriate test use may be discussed with the PTL lab director. Please email compliance@labxdiagnostics.com or call 1-800-240-2074-Option 3 to be connected with our clinical consultant. Practitioners Manual: Contains information about clinical tests offered by PTL. The Practioners Manual is provided at account setup, but a copy can be obtained by calling our customer service department at 1-800-240-2074-Option 3.
