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23.4.1 Clinical Laboratory Fee Schedule
The Deficit Reduction Act (DEFRA) of 1984 requires clinical diagnostic laboratory tests that are performed in a physician's office by an independent laboratory or a hospital laboratory for its outpatients be reimbursed on the basis of maximum fee schedules. The Texas Medicare carrier publishes the fee schedules on an annual basis. By federal law, the CSHCN Services Program payment cannot exceed that allowed by Medicare.
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