CPT procedure code

0016M

Medicare payment

$3,489.63

2026 Clinical Laboratory Fee Schedule

Source: CMS Clinical Laboratory Fee Schedule (2026). CMS fee schedules ↗

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

0016M

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Category

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 0016M

CLV Intelligence is tracking 8 policy changes that cite CPT 0016M most recently on 2026-06-05, drawn from 7 LCD/NCD coverage updates and 1 MAC LCD revision. The changes span Clinical Laboratory, Oncology and Urology. 7 are flagged critical or high priority.

LCD/NCD coverage updates
7
MAC LCD revision
1

Counts reflect the source documents CLV has matched to CPT 0016M to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 0016M

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

LCD L38586: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer — CGS Administrators

Oncology · LCD-L38586

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L36021: MolDX: Molecular Diagnostic Tests (MDT) — CGS

Clinical Laboratory · LCD-L36021

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L38649: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer — Noridian

Oncology · LCD-L38649

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L36256: MolDX: Molecular Diagnostic Tests (MDT) — Noridian

Clinical Laboratory · LCD-L36256

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L38576: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer — Palmetto GBA

Urology · LCD-L38576

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L35160: MolDX: Molecular Diagnostic Tests (MDT) — Noridian

Clinical Laboratory · LCD-L35160

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L38684: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer — WPS

Urology · LCD-L38684

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L38647: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer — Noridian

Urology · LCD-L38647

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

View alert

Audit documentation

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