2026-08513NoticeWallet

September Medicare Panel Meets on Lab Test Rates

Published Date: 5/1/2026

Notice

Summary

Medicare is hosting a virtual meeting on September 15-16, 2026, where experts and the public will discuss how to set fair payment rates for certain lab tests. If you’re involved in clinical lab testing or Medicare payments, this is your chance to share ideas before decisions are made. Don’t miss the August 21 deadline to register or submit comments—this could impact how much Medicare pays for lab tests next year!

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Speak to CMS About Lab Payments

If you work for a clinical laboratory or handle Medicare lab payments, you can present recommendations at a virtual meeting on September 15–16, 2026 from 10:00 a.m. to 4:00 p.m. EDT. Registration and written presentations (and requests for special accommodations) must be submitted by August 21, 2026 at 5:00 p.m. EDT; presenter registration opens August 3, 2026.

How CMS Will Set Payment for No-Data Tests

For CLFS test codes where CMS received no applicable information, Medicare payment will be determined using either "crosswalking" or "gapfilling" under 42 CFR 414.507(f). CMS plans to post proposed determinations and supporting data in late September 2026, accept written comments in October 2026, and publish final determinations and rationale in November 2026 for inclusion on the CLFS for calendar year 2027.

List of Codes Lacking Data Posted

CMS will post, in early August 2026, a list of Clinical Laboratory Fee Schedule (CLFS) codes for which it received no applicable information during the May 1, 2026 through July 31, 2026 data reporting period. The list will identify the CY 2027 codes that are the subject of crosswalking or gapfilling discussions at the September meeting.

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Key Dates

Published Date
Effective Date
5/1/2026
9/15/2026

Department and Agencies

Department
Independent Agency
Agency
Health and Human Services Department
Centers for Medicare & Medicaid Services
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