BILLING NEWS

New Waived Tests

CMS has listed the latest tests approved by the FDA as waived tests under the Clinical Laboratory Improvement Amendments of 1988 (CLIA).

CPT Code Effective Date Description
80101QW, G0430QW July 1, 2009 for 80101QW, January 1, 2010 for G0430QW Inverness Medical Innovations Signify ER Drug Screen
82274QW, G0328QW September 9, 2009 Germaine Laboratories AimStep Immunological Fecal Occult Blood Test (iFOBT)
81003QW, 82044QW, 82570QW September 14, 2009 Siemens Clinitek 50 Urine Chemistry Analyzer
87880QW September 15, 2009 CLIA waived inc Rapid Strep A Test
82044QW October 26, 2009 Genzyme Diagnostics OSOM ImmunoDip Urinary Albumin Test

Other Key Points of CR 6800

  • CMS was informed by Bayer Healthcare that certain tests are no longer manufactured or distributed.
  • The CPT code assigned to certain tests have been changed from 83518QW to 82044QW with an effective date of April 1, 2010.
  • HCPCS code G0430QW was added to certain test systems since they are qualitative drug screening tests for multiple drug classes using a non-chromatographic method.
  • HCPCS code G0431QW was added to certain test systems since they are qualitative drug screening tests using a single drug class method.

You should be aware that your carrier or MAC will not search their files to either retract payment or retroactively pay claims processed prior to implementation of CR 6800. However, they should adjust claims that you bring to their attention.


SOURCE: Source
INDUSTRY NEWS TAGS: CMS, CLIA


SHARE THIS NEWS POST:

Billing News By TAG

Billing News By DATE