BILLING NEWS

New Waived Tests

CLIA regulations require a facility to be appropriately certified for each test performed. To ensure CMS pays only for laboratory tests categorized as waived complexity under CLIA in facilities with a CLIA certificate of waiver, laboratory claims are currently edited at the CLIA certificate level.

Waived Test Requiring QW Modifier

Modifier Effective Date  
82274QW, G0328QW August 18, 2004 Clearview Ultra FOB Test
82274QW, G0328QW March 16, 2005 Clarity Hemosure One-Step Immunological Fecal Occult Blood Test
80101QW July 19, 2005 Branan Medical Corporation ToxCup Drug Screen Cup
80178QW April 22, 2005 ReliaLab Inc. InstaRead Lithium System (fingerstick or venipuncture whole blood)
82962 and 82465QW August 24, 2005 Roche Diagnostics AccuChek Instant Plus Dual Testing System
83001QW August 24, 2005 Acon Laboratories, Inc. FSH One Step Menopause Test Strip (Professional Use)
83001QW August 24, 2005 Acon Laboratories, Inc. FSH One Step Menopause Test Device (Professional Use)
83880QW August 26, 2005 Biosite Triage Meter (Whole Blood)
83880QW August 26, 2005 Biosite Triage Meter Plus (Whole Blood)
86308QW September 01, 2005 Acon Mononucleosis Rapid Test Strip (Whole Blood)
86308QW September 01, 2005 Acon Mononucleosis Rapid Test Device (Whole Blood)
80101QW July 08, 2005 iCassette Multi-Drug, Multi-Line Screen Test Device
80101QW September 01, 2005 Accutest Multi-Drug, Multi-Line Screen Test Device
80101QW September 01, 2005 RediScreen Multi-Drug, Multi-Line Screen Test Device

Tests That Do Not Required QW Modifier

Procedure Codes  
81002 Dipstick or tablet reagent urinalysis – non-automated for bilirubin, glucose, hemoglobin, ketone, leukocytes, nitrite, pH, protein, specific gravity, and urobilinogen
81025 Urine pregnancy tests by visual color comparison
82270, 82271, G0107 Fecal occult blood
82962 Blood glucose by glucose monitoring devices cleared by the FDA for home use
83026 Hemoglobin by copper sulfate – non-automated
84830 Ovulation tests by visual color comparison for human luteinizing hormone
85013 Blood count; spun microhematocrit
85651 Erythrocyte sedimentation rate – non-automated

INDUSTRY NEWS TAGS: CMS


SHARE THIS NEWS POST:

Billing News By TAG

Billing News By DATE