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Industry News: CLIA

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

CR 6812, informs carriers and MACs about the new HCPCS codes for 2010 that are subject to, and those that are excluded from, CLIA edits. CLIA regulations require a facility to be appropriately certified for each test it performs; and moreover, to ensure that Medicare...


New Waived Tests

CMS has listed the latest tests approved by the FDA as waived tests under the Clinical Laboratory Improvement Amendments of 1988 (CLIA). CPT Code Effective Date Description 80101QW, G0430QW July 1, 2009 for 80101QW, January 1, 2010 for G0430QW Inverness Medical Innovations Signify ER Drug Screen 82274QW, G0328QW September 9, 2009 Germaine Laboratories AimStep...


QW Modifier

Providers possessing a Clinical Laboratory Improvement Amendments (CLIA) Certificate of Wavier or Provider - Performed Microscopy Procedures (PPMP) must utilize a test kit and bill the program utilizing a QW modifier with for the following codes: 80061, 80101, 81003, 81007,82010, 82044, 82055, 82120, 82273, 82274, 82465, 82523, 82570, 82679, 82947, 82950, 82951, 82952, 82985, 83001, 83002,...