How are HCV adult screening tests performed in the hospital outpatient department paid under Medicare?
In a transmittal issued on November 5, 2015, the Centers for Medicare & Medicaid Services (CMS) added type of bill (TOB) 014x (hospital other Part B) as an applicable TOB for the screening of HCV when submitted for a non-patient laboratory specimen (HCPCS Code G0472). CMS will implement this change on April 4, 2016 but it will be effective for dates of service on or after June 2, 2014. Payment for these services will be based on the laboratory fee schedule. For this transmittal, go to https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3393CP.pdf.