81404

Medicare payment

$274.83

2026 Clinical Laboratory Fee Schedule

Source: CMS Clinical Laboratory Fee Schedule (2026). CMS fee schedules ↗ · PFS status indicator X

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

Code definition

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 81404

CLV Intelligence is tracking 20 policy changes that cite CPT 81404 between 2026-06-05 and 2026-08-27, drawn from 18 LCD/NCD coverage updates, 1 MAC LCD revision and 1 proposed LCD. The changes span Clinical Laboratory, Genetic Testing, Multi-specialty and Neurology, and 2 more. 14 are flagged critical or high priority.

LCD/NCD coverage updates

18

MAC LCD revision

1

proposed LCD

1

Counts reflect the source documents CLV has matched to CPT 81404 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 81404

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

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