CPT procedure code

0528U

Medicare payment

$634.84

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

0528U

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 0528U

CLV Intelligence is tracking 8 policy changes that cite CPT 0528U between 2026-06-05 and 2026-06-25, drawn from 8 LCD/NCD coverage updates. The changes span Clinical Laboratory and Infectious Disease / Microbiology. 7 are flagged critical or high priority.

LCD/NCD coverage updates
8

Counts reflect the source documents CLV has matched to CPT 0528U 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 0528U

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

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 L38988: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing — Palmetto GBA

Infectious Disease / Microbiology · LCD-L38988

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L39038: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing — CGS

Infectious Disease / Microbiology · LCD-L39038

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 L39003: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing — Noridian

Infectious Disease / Microbiology · LCD-L39003

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L39001: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing — Noridian

Infectious Disease / Microbiology · LCD-L39001

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 L39044: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing — WPS

Infectious Disease / Microbiology · LCD-L39044

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

View alert

Audit documentation

Building an audit file that includes CPT 0528U?

The Tripwire Audit Pack exports 12 months of single-specialty policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.

See audit packs — $349One-time purchase · not a subscription

Get alerts when policy changes affect 0528U

Free weekly digest — no subscription required.

Look up another code

Search ICD-10, HCPCS, or CPT codes with related reimbursement alerts.

Code lookup