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CMS-CR 5913: New CLIA Waived Tests

May 1, 2008

New waived tests and their effective dates. The CPT codes for these tests must have the QW modifier to be recognized as a waived test. Effective Date: April 1, 2008. Implementation Date: April 7, 2008.

New Codes

CPT Code Effective Date Description
87880QW June 25, 2007 PSS World Medical Select Diagnostics Strep A Dipstick
86308QW July 12, 2007 Signify Mono Cassette {Whole Blood}
86308QW July 12, 2007 Poly Stat Mono Test {Whole Blood}
86308QW July 12, 2007 Clearview MONO Whole Blood, K042272/A016
86318QW July 25, 2007 Polymedco Poly Stat H. Pylori Test (Whole Blood)
86318QW July 25, 2007 Henry Schein One Step+ H. Pylori Rapid Test Device (Whole Blood)
87880QW August 14, 2007 Medical The Supply Experts Strep A Rapid Test Ð Dipstick
87880QW August 21, 2007 Jant Pharmacal Accustrip Strep A Value+ Test Strip
87880QW August 21, 2007 Abbott Laboratories Signify Strep A Dipstick
86318QW September 11, 2007 Abbott Laboratories Signify H. Pylori Cassette {Whole Blood}
82465QW, 83718QW, 82947QW, 82950QW, 82951QW, 82952QW September 21, 2007 Polymer Technology Systems CardioChek PA Analyzer (PTS Panels CHOL+HDL+GLUC Panel Test Strips)
82465QW, 83718QW, 82947QW, 82950QW, 82951QW, 82952QW September 21, 2007 Polymer Technology Systems CardioChek Brand Analyzer (PTS Panels CHOL+HDL+GLUC Panel Test Strips)
85014QW September 21, 2007 Abbott i-STAT Chem8+ Cartridge {Whole Blood}
82465QW, 83718QW October 15, 2007 Polymer Technology Systems CardioChek PA Analyzer (PTS Panels CHOL+HDL Panel Test Strips)
82465QW, 83718QW October 15, 2007 Polymer Technology Systems CardioChek Brand Analyzer (PTS Panels CHOL+HDL Panel Test Strips)
82565QW, 84520QW October 18, 2007 Abaxis Piccolo xpress Chemistry Analyzer (Kidney Check Panel){Whole Blood}
86703QW October 22, 2007 Clearview Complete HIV 1/2 {Fingerstick Venipuncture, whole blood}
80051QW October 30, 2007 Abaxis Piccolo Blood Chemistry Analyzer (Electrolyte Metabolic Reagent Disc){Whole Blood}
80051QW October 30, 2007 Abaxis Piccolo xpress Chemistry Analyzer (Electrolyte Metabolic Reagent Disc){Whole Blood}
87804QW November 1, 2007 BinaxNOW Influenza A & B Test {Nasopharyngeal (Np) Swab and Nasal Wash/Aspirate Specimens and Nasal Swabs (NS)}
80101QW December 13, 2007 Quest Diagnostics Incorporated, Express Results Integrated Multi-Drug Screen Cup {professional use}
80047QW January 1, 2008 Abbott i-STAT Chem8+ Cartridge {Whole Blood}
80048QW January 16, 2008 Abaxis Piccolo Blood Chemistry Analyzer (Basic Metabolic Reagent Disc){Whole Blood}
80048QW January 16, 2008 Abaxis Piccolo xpress Chemistry Analyzer (Basic Metabolic Reagent Disc){Whole Blood}
80053QW January 16, 2008 Abaxis Piccolo Blood Chemistry Analyzer (Comprehensive Metabolic Reagent Disc){Whole Blood}
80053QW January 16, 2008 Abaxis Piccolo xpress Chemistry Analyzer (Comprehensive Metabolic Reagent Disc){Whole Blood}

The following CPT codes do not require the QW modifier in order to be recognized as waived tests:

CPT Code Description
81002 Dipstick or tablet reagent urinalysis Ð non-automated for bilirubin, glucose, hemoglobin, ketone, leukocytes, nitrite, pH, protein, specific gravity, and urobilinogen
81025 Urine pregnancy tests by visual color comparison
82270, 82272, G0394 Fecal occult blood (Contact your Medicare carrier or A/B MAC for claims instructions.)
82962 Blood glucose by glucose monitoring devices cleared by the FDA for home use
83026 Hemoglobin by copper sulfate Ð non-automated
84830 Ovulation tests by visual color comparison for human luteinizing hormone
85013 Blood count;spun microhematocrit
85651 Erythrocyte sedimentation rate-non-automated

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