Clinical Diagnostic Lab Fee Schedules

​Disclaimer: Note that the absence or presence of a reimbursement code and its associated allowance on these pages does not guarantee Medicaid coverage of the item or procedure. Please refer to the appropriate West Virginia Medicaid provider manual for coverage determination.

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CY 2024 Clinical Lab Fee Schedule                               CY 2024 Clinical ​Lab Fee Schedule   Effective 4/1/2024 until 3/31/2025
CY 2024 New​ Procedure Codes ​ ​                                   CY 2024 New​ ​Procedure Codes        Effective 1/1/2024
CY 2023 New Procedure Codes                                     CY 20​23 New Procedure Codes        Effective 1/1/2023 until 3/31/2024
CY 2023 Clin​ical Lab Fee Schedule   ​                            CY 2023​ Clin​ical Lab ​Fee Schedule​   Effective 4/1/2023 until 3/31/2024
CY 2022 Clinical Lab Fee Schedule                               CY 2022 Clinica​l Lab Fee Schedule   Effective 4/1/2022 until 3/31/2023​
CY 2022 Clinical Lab Fee Schedule                               CY 2022 Cli​nic​al Lab F​​ee Schedule   Effective 4/1/2022 until 3/31/2023
CY 2021 Clinical Lab Fee Schedule                               CY 2021 Clinical Lab Fee Schedule   Effective 4/1/2021 until 3/31/2022
CY 2021 Clinical Lab Fee Schedule                               CY 2021 Clinical Lab Fee Schedule   Effective 1/1/2021 until 3/31/2021
CY 2020 Clinical Lab Fee Schedule                               CY 2020 Clinical Lab Fee Schedule   Effective beginning 4/1/2020 
Codes for Novel Coronavirus testing, U0001  for the CDC test and U0002 for the Commercial Test, are effective as of 2/4/2020

CY 2020 Clinical Lab Fee Schedule                                 CY 2020 Clinical Lab Fee Schedule  Effective 1/1/20-3/31/20 ONLY