048-26 Wyo. Code R. §§ 26-19 - Laboratory Services
(a) Eligible
providers. Independent laboratories certified by Medicare, hospital
laboratories, and physician offices with a laboratory licensed by the state in
which the laboratory is located.
(b) Covered services. Professional or
technical laboratory services ordered by a licensed provider under their scope
of practice. Services shall be directly related to the diagnosis and treatment
of the patient as specified in the ordering provider's treatment
plan.
(c) Excluded services:
(i) Handling charges where a specimen is
referred by one (1) laboratory to another;
(ii) Post-mortem examinations;
(iii) Fees charged to obtain immediate
results;
(iv) Technician callback
fees; and
(v) Services that are not
FDA approved.
(d)
Limited services:
(i) Specimen collection fees
shall be paid only to the provider that collects the specimen from the
client.
(ii) Only one collection
fee shall be allowed for each type of specimen for each client encounter,
regardless of the number of specimens extracted.
(iii) Clinical laboratory services routinely
performed by non-physicians shall not be entitled to a professional
component.
Notes
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