048-26 Wyo. Code R. § 26-21

Current through April 27, 2019

Section 26-21 - 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.

048-26 Wyo. Code R. § 26-21

Amended, Eff. 12/17/2015.

Amended, Eff. 4/9/2019.