Retroactive Increases to Physician Laboratory Fees

Ashley Lane
April 26, 2021

Physician Laboratory Fees were retroactively increased effective April 1st, 2020 will appear on the May 2021 Remittance Advice. Here are the changes:

he changes: 

Fee Code Previous value New value
L800A $21.70 $22.70
L805A $81.20 $83.85
L806A $35.80 $36.20
L810A $23.40 $25.00
L820A $7.00 $8.15
L826A $13.35 $15.15
L829A $13.70 $14.65
L834A $13.35 $15.15
L835A $13.35 $15.15
L841A $13.35 $15.15
L843A $21.50 $23.55
L844A $13.60 $14.55
L846A $12.20 $12.60
L849A $13.90 $15.20
A585A $68.60 $73.30
C585A $64.70 $73.30

Medical Claims Payment Adjustment

All codes with service dates between April 1st, 2020 and March 31st, 2021 will be adjusted with explanatory codes ‘55-This deduction is an adjustment on an earlier account (system generated negate)’ and ‘57-This payment is an adjustment on an earlier account’. 

Staying up to date on these adjustments will ensure you’re being paid as expected. If you have any questions about this update, please get in touch.