Applicable information,

Applicable information, with respect to each CDLT for a data collection period:
(1) Means -
(i) Each private payor rate for which final payment has been made during the data collection period;
(ii) The associated volume of tests performed corresponding to each private payor rate; and
(iii) The specific Healthcare Common Procedure Coding System (HCPCS) code associated with the test.
(2) Does not include information about a test for which payment is made on a capitated basis.


42 CFR § 414.502

Scoping language

For purposes of this subpart -

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