Billing Beat

HIV Screening and Infectious Agent Detection Codes Added to CLIA-Waived List

October 25, 2017

Effective for dates of service on or after November 1, 2017, HCPCS code G0475 (HIV antigen/antibody, combination assay, screening) and CPT code 87801 (infectious agent detection by nucleic acid [DNA or RNA], multiple organisms; amplified probe(s) technique) are reimbursable as a Clinical Laboratory Improvement Amendments (CLIA)-waived test when performed with a CLIA-waived test kit and billed with modifier QW (CLIA-waived test). These codes may also be used without modifier QW if used to bill for services that are not CLIA-waived.

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