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Laboratory Services
19.1 Enrollment 19-2
19.2 Clinical Laboratory Improvement Amendments (CLIA) of 1988 19-2
19.2.1 CLIA Requirements 19-2
19.2.2 CLIA Regulations 19-3
19.2.2.1 Limits of Waiver and Physician-Performed Microscopy Procedure (PPMP)
CLIA Certificates 19-3
19.2.2.2 Waiver Certificate 19-3
19.2.2.3 PPMP Certificates 19-3
19.3 Reimbursement 19-4
19.3.1 2003 Clinical Laboratory Fee Schedule 19-4
19.4 Benefits and Limitations 19-4
19.4.1 Hospital Laboratory Services 19-5
19.4.2 Physician Laboratory Services 19-5
19.4.3 Independent Laboratory Services 19-5
19.4.4 Anatomical Pathology Services 19-5
19.4.5 Cancer Screening 19-6
19.4.6 Cytogenetics Testing 19-6
19.4.7 Genetic Services 19-19
19.4.8 Cytopathology of Vaginal, Cervical, and Uterine Sites 19-19
19.4.9 Cytopathology Studies Other Than Vaginal, Cervical, or Uterine 19-19
19.4.10 Helicobacter Pylori (H. Pylori) 19-20
19.4.11 Laboratory Panel Tests 19-24
19.4.11.1 Complete Blood Count (CBC) 19-25
19.4.11.2 Ferritin and Iron Studies 19-25
19.4.12 Latex Sensitivity Testing 19-26
19.4.13 Polysomnography 19-26
19.4.13.1 Multiple Sleep Latency Test 19-28
19.4.13.2 Pediatric Pneumogram 19-29
19.4.14 Urinalysis 19-30
19.4.15 Other Laboratory Services 19-30
19.4.16 Repeated Procedures (Modifier 76 or 91) 19-30
19.4.17 Reference Labs and Lab Handling Fees 19-31
19.5 Claims Information 19-31
19.6 TMHP-CSHCN Services Program Contact Center 19-32
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