The basics of reimbursement for LDT and IVD tests in the United States

For international readers outside of the U.S., this paper can be used as a case study resource.

Before a clinical laboratory launches a molecular test, the question of how to receive payment for the test should be carefully analyzed. Molecular tests including LDT and IVD tests require designated CPT codes for payment, which are used to bill for reimbursement. These codes are crucial for coverage and payment from all payers.

Download this educational paper to learn how to:

  • Understand the use of CPT codes
  • Define the role of a Medicare Administrative Contractor (MAC)
  • Understand types of reimbursement strategies

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