Independent Laboratory Services Handbook (PDF of entire handbook, 867 KB).

The following PDFs are broken down by section:

Important Numbers (PDF, 55 KB)

Preface (PDF, 29 KB)

General Information (PDF, 44 KB)

Covered Services (PDF, 39 KB)

Preparing Claims (PDF, 48 KB)

Appendix (All appendices) (PDF, 216 KB)

• Appendix 1 — Wisconsin Medicaid-Allowable CLIA Waiver Certificate Procedure Codes (PDF, 44 KB).
• Appendix 2 — Wisconsin Medicaid-Allowable CLIA Provider-Performed Microscopy Procedure Codes (PDF, 32 KB).
• Appendix 3 — CLIA Specialty/Subspecialty Codes (PDF, 30 KB).
• Appendix 4 — Wisconsin Medicaid-Allowable Procedure Codes for Independent Laboratory Services (PDF, 35 KB).
• Appendix 5 — Wisconsin Medicaid-Allowable Place of Service and Type of Service Codes for Independent Laboratories (PDF, 27 KB).
• Appendix 6 — HCFA 1500 Claim Form — Completion Instructions (PDF, 48 KB).
• Appendix 7 — Sample HCFA 1500 Claim Form (PDF, 124 KB).

Glossary (PDF, 36 KB)

Index (PDF, 29 KB)

Wisconsin Medicaid
Independent Laboratory Services Handbook
October 2002