PAP2003 - Laboratory Claims Billing Requirements - Removed language “The test must be U.S. Food and Drug Administration (FDA) approved and authorized”.

By June 1, 2025: Billing team must update CMS-1500 claim form procedures to ensure all clinical labs include their lab test number in the notes field. Update billing software templates and staff training for laboratory claims submission. Verify all lab orders match physician orders and maintain proper documentation for medical necessity.