Provider Manuals > Laboratory >
Below are the previous versions of the Laboratory Manual.
| Version | Manual Document | Change Notes | 
|---|---|---|
2025 - 2 Archived September 15, 2025  | 
                Laboratory Fee Schedule (XLS 160KB)  | 
                |
2025 - 1 Archived April 2, 2025  | 
                Laboratory Fee Schedule (XLS 159KB)  | 
                |
2024 - 3 Archived January 2, 2025  | 
                Laboratory Fee Schedule (XLS 160KB)  | 
                |
2024 - 2 Archived July 1, 2024  | 
                Laboratory Procedure Codes (PDF 1.24MB)  | 
                |
2024 - 2 Archived June 25, 2024  | 
                Laboratory Fee Schedule (XLS 159KB)  | 
                |
2024 - 1 Archived April 5, 2024  | 
                Laboratory Fee Schedule (XLS 150KB)  | 
                |
2023 - 1 Archived February 16, 2024  | 
                Laboratory Procedure Codes (PDF 1.2MB)  | 
                |
2023 - 3 Archived October 10, 2023  | 
                Laboratory Fee Schedule (XLS 148KB)  | 
                |
2023 - 2 Archived September 25, 2023  | 
                Laboratory Fee Schedule (XLS 141KB)  | 
                |
2023 - 1 Archived May 18, 2023  | 
                Laboratory Fee Schedule (XLS 130KB)  | 
                |
2019 - 2 Archived May 15, 2023  | 
                Laboratory Procedure Codes (PDF 1.08MB)  | 
                |
2022 - 5 Archived December 22, 2022  | 
                Laboratory Fee Schedule (XLS 125KB)  | 
                |
2021 - 1 Archived October 26, 2022  | 
                Laboratory Policy Guidelines (PDF 895KB)  | 
                |
2022 - 4 Archived October 17, 2022  | 
                Laboratory Fee Schedule (XLS 125KB)  | 
                |
2022 - 3 Archived August 18, 2022  | 
                Laboratory Fee Schedule (XLS 125KB)  | 
                |
2022 - 2 Archived August 12, 2022  | 
                Laboratory Fee Schedule (XLS 125KB)  | 
                |
2022 - 1 Archived August 9, 2022  | 
                Laboratory Fee Schedule (XLS 123KB)  | 
                |
2021 - 2 Archived January 4, 2022  | 
                Laboratory Fee Schedule (XLS 123KB)  | 
                |
2015 - 2 Archived May 17, 2021  | 
                Laboratory Policy Guidelines (PDF 716KB)  | 
                |
2020 - 5  | 
                Laboratory Fee Schedule (XLS 119KB)  | 
                |
2020 - 4  | 
                Laboratory Fee Schedule (XLS 119KB)  | 
                |
2020 - 3  | 
                Laboratory Fee Schedule (XLS 119KB)  | 
                |
2020 - 2  | 
                Laboratory Fee Schedule (XLS 122KB)  | 
                |
2020 - 1  | 
                Laboratory Fee Schedule (XLS 122KB)  | 
                |
2019 - 2  | 
                Laboratory Fee Schedule (XLS 122KB)  | 
                |
2019 - 1 Archived April 4, 2019 | 
                Laboratory Procedure Codes (PDF 704B)  | 
                |
2018 - 1 Archived March 28, 2019  | 
                Laboratory Procedure Codes (PDF 803KB)  | 
                |
2018 - 2 (4/01/18) Archived December 27, 2018 | 
                Laboratory Fee Schedule (XLS 126KB)  | 
                |
2017 - 2 Archived March 27, 2018  | 
                Laboratory Procedure Codes (PDF 336KB)  | 
                |
2017 - 2 (4/01/17) Archived December 28, 2017  | 
                Laboratory Fee Schedule (XLS 135KB)  | 
                |
2017 - 1  Archived April 6, 2017  | 
                Laboratory Procedure Codes (PDF 409B)  | 
                |
2016 - 1  Archived January 3, 2017  | 
                Laboratory Procedure Codes (PDF 328KB)  | 
                |
2015 - 1  Archived April 7, 2016  | 
                Laboratory Procedure Codes (PDF 350KB)  | 
                |
2015 - 2 (4/01/15) Archived December 29, 2015  | 
                Laboratory Fee Schedule (XLS 118KB)  | 
                |
2011 - 1 (9/06/11) Archived September 14, 2015  | 
                Policy Guidelines (PDF 157KB)  | 
                |
2014 - 1 (4/01/14) Archived March 31, 2015  | 
                Laboratory Procedure Codes (PDF 748KB)  | 
                |
2014 - 1 (4/01/14) Archived January 8, 2015  | 
                Laboratory Fee Schedule (XLS 121KB) | |
2013 - 1 (12/01/13) Archived April 14, 2014  | 
                Laboratory Procedure Codes (PDF 325KB) | |
2013 - 2 (12/01/13) Archived April 8, 2014  | 
                Laboratory Fee Schedule (XLS 120KB) | |
2011 - 1 (07/01/11) Archived December 2, 2013  | 
                Laboratory Procedure Codes (PDF 264KB) | |
2011 - 1 Archived December 2, 2013  | 
                Laboratory Fee Schedule (XLS 124KB) | |
2005 - 1 (01/01/05) Archived September 13, 2011  | 
                Policy Guidelines (PDF 119KB) | |
2010 - 1 Archived July 7, 2011  | 
                Procedure Codes (PDF 467KB) | |
2010 - 1 Archived July 7, 2011  | 
                Fee Schedule (XLS 114KB) | |
2010 - 1 (11/18/10) Archived June 20, 2011  | 
                150003 Billing Guidelines (PDF 7.41MB)  | 
                |
2010 - 1 (5/31/10) Archived January 6, 2011  | 
                150002 Billing Guidelines (PDF 1.72MB)  | 
                |
2009 - 3 Archived July 19, 2010  | 
                Billing Guidelines (PDF 936KB) | |
2009 - 1 Archived May 27, 2010  | 
                Fee Schedule (XLS 114KB)  | 
                |
2009 - 1 Archived May 27, 2010  | 
                Procedure Codes (PDF 746KB) | |
2009 - 2 Archived December 3, 2009  | 
                Billing Guidelines (PDF 1.38MB) | |
2009 - 1 Archived October 1, 2009  | 
                Billing Guidelines (PDF 1.38MB) | |
2008 - 1 Archived July 30, 2009  | 
                Fee Schedule (XLS 115KB)  | 
                |
2008 - 1 Archived July 30, 2009  | 
                Procedure Codes (PDF 110KB) | |
2008 - 3 Archived May 14, 2009  | 
                150001 Billing Guidelines (PDF 973KB)  | 
                |
2008 - 2 Archived December 8, 2008  | 
                Billing Guidelines (PDF 420KB) | |
2008 - 1 Archived July 24, 2008  | 
                Billing Guidelines (PDF 972KB)  | 
                |
2007 - 1 Archived April 11, 2008  | 
                Procedure Codes (PDF 101KB) | |
2007 - 1 Archived April 11, 2008  | 
                Fee Schedule (XLS 107KB)  | 
                |
2007 - 1 Archived January 18, 2008  | 
                Billing Guidelines (PDF 419KB) | |
2006 - 1 (6/01/06) Archived July 25, 2007  | 
                Procedure Codes & Fee Schedule (PDF 106KB) | |
2004 - 1 Archived June 29, 2007  | 
                Billing Guidelines (PDF 530KB) | |
| 2005 - 2 | Procedure Codes & Fee Schedule (PDF 656KB) | |
| 2005 - 1 | Procedure Codes & Fee Schedule (PDF 656KB) |