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Panels and Profiles
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The page below is a sample from the LabCE course
Medicare Compliance for Clinical Laboratories (retired 2/17/2021)
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Learn more about Medicare Compliance for Clinical Laboratories (retired 2/17/2021) (online CE course)
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.
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