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The page below is a sample from the LabCE course Medicare Compliance for Clinical Laboratories. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Panels and Profiles

Panels and Profiles:
  • It is not against the law for a laboratory to allow the use of panels, profiles, and custom panels. However, all applicable CPT-4 codes must be included.
  • The laboratory must ensure that the ordering doctor knows what tests are included in a panel or profile and what CPT-4 codes will be billed to the Medicare program.
  • The laboratory notifies doctors about panels and profiles through a written notice and the requisition.
  • Employees should not permit the order of any panel or profile not authorized by the laboratory.