CMS-Ruling 2020-1-R 1

1 CMS-Ruling 2020-1-R CMS Rulings Department of Health and Human Services Centers for Medicare & Medicaid Services Ruling No.: [CMS-2020-01-R] Date: April 14, 2020 CMS Rulings are decisions of the Administrator that serve as precedent final opinions and orders and statements of policy and interpretation. They provide clarification and interpretation of complex or ambiguous statutory or regulatory provisions relating to Medicare, Medicaid, Utilization and Quality Control Peer Review, private health insurance, and related matters. They are published under the authority of the Administrator of the Centers for Medicare & Medicaid Services (CMS). CMS Rulings are binding on all CMS components, on all Department of Health and Human Services components that adjudicate matters under the jurisdiction of CMS, and on the Social Security Administration (SSA) to the extent that components of the SSA adjudicate matters under the jurisdiction of CMS.

Section 1834A of the Social Security Act (42 U.S.C. 1395m-1), and 42 CFR Part 414, Subpart G. CMS-Ruling 2020-1-R 2 BACKGROUND Medicare Part B items and services that are clinical diagnostic laboratory tests (CDLTs) are paid for on the Clinical Laboratory Fee Schedule in accordance with section 1833(h) and section

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