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Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits for Apr. 2012

April 24, 2012

CLIA regulations require a facility to be appropriately certified for each test performed. The HCPCS codes listed in the chart that follows are new for 2012 and are subject to CLIA edits. The list does not include new HCPCS codes for waived tests or provider-performed procedures.

HCPCS Description
0279T Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood)
0280T Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); interpretation and report
86386 Nuclear Matrix Protein 22 (NMP22), qualitative
87389 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semi quantitative, multiple-step method; HIV-1 antigens(s), with HIV-1 and HIV-2 antibodies, single result.

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