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Independent Laboratory
26.1 Enrollment 26-2
26.2 Clinical Laboratory Improvement Amendments (CLIA) 26-2
26.2.1 CLIA Requirements 26-2
26.2.2 CLIA Regulations 26-2
26.2.3 Limits of Waiver and Physician-Performed Microscopy Procedure (PPMP)
CLIA Certificates 26-2
26.2.3.1 Waiver Certificate 26-2
26.2.3.2 PPMP Certificates 26-3
26.3 Reimbursement 26-3
26.3.1 Texas Health Steps (THSteps) Outpatient Laboratory Services 26-3
26.4 Benefits and Limitations 26-3
26.4.1 Reference Labs and Lab Handling Fees 26-4
26.4.2 Repeated Procedures 26-4
26.4.2.1 Modifier 91 26-4
26.4.2.2 Modifier 76 26-4
26.4.3 Laboratory Paneling 26-5
26.4.3.1 Chemistry Tests 26-5
26.4.4 Organ or Disease Panels 26-6
26.4.5 Ferritin and Iron Studies 26-7
26.4.6 Laboratory Services for Clients on Dialysis 26-8
26.4.7 Transfusion Medicine 26-8
26.5 Claims Information 26-8
26.5.1 Electronic Filing for Laboratory Providers 26-8
26.5.2 Claim Filing Resources 26-8
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