Billing Beat

New Waived Tests effective October 1, 2012

August 31, 2012

Listed below are the latest tests approved by the FDA as waived tests under CLIA. The CPT codes for the following new tests must have the modifier QW to be recognized as a waived test. The CLIA regulations require a facility to be appropriately certified for each test performed.

CPT Code Effective Date Description
G0434QW March 14, 2012 Wondfo Oxycodone Urine Test {Dip card format}
G0434QW March 14, 2012 Wondfo Oxycodone Urine Test {Cup format}
87880QW March 23, 2012 McKesson Strep A Test – Dipstick
87880QW March 23, 2012 McKesson Strep A Test – Twist
86318QW April 3, 2012 McKesson H. pylori Test (Whole Blood)
87804QW April 20, 2012 Sofia Analyzer and Influenza A+B FIA (for user with nasal swabs and nasopharyngeal swabs)
85610QW May 8, 2012 AlereINRatioÆ2 PT/INR Home Monitoring System {Prescription Home Use}
83986QW May 8, 2012 Dale Medical Products, Inc. RightLevel pH
83986QW May 8, 2012 Dale Medical Products, Inc. RightSpot pH
G0434QW May 22, 2012 Chemtron Biotech, Inc. Chemtrue Single/Multi-Panel Drug Screen Cassette Tests
G0434QW May 22, 2012 Chemtron Biotech, Inc. Chemtrue Single/Multi-Panel Drug Screen Dip Card Tests

Note the effective date for each test. Contractors will not search their files to retroactively pay claims, but facilities may bring such claims to the attention of their contractor. table#cptcodes tr td{padding:7px;}

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