TMPPM 2008 > Texas Medicaid Services > Independent Laboratory > Benefits and Limitations

26.4.10 Laboratory Services for Clients on Dialysis

The Texas Medicaid Program provides reimbursement for laboratory services performed for clients on dialysis.

Charges for routine laboratory tests performed according to the established frequencies are included in the facility's dialysis charge billed to the Texas Medicaid Program regardless of where the tests were performed. Routine laboratory services performed by an outside laboratory are billed to the facility.

Nonroutine laboratory services for clients dialyzing in a facility and all lab work for clients on continuous ambulatory peritoneal dialysis (CAPD) may be billed separately from the dialysis charge. These services and recommended frequencies are listed in "Laboratory and Radiology Services" .