New Waived Tests Have Retroactive Effective Dates
- By admin aapc
- In Billing
- July 26, 2012
- Comments Off on New Waived Tests Have Retroactive Effective Dates
The Centers for Medicare & Medicaid Services (CMS) recently notified contractors of 11 new tests approved by the U.S. Food and Drug Administration (FDA) as waived tests under Clinical Laboratory Improvement Amendments of 1988 (CLIA).
Effective Oct. 1, 2012, appropriately certified facilities may be reimbursed for the following 11 new waived tests:
| 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 | AlereINRatio®2 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 |
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.
See CMS transmittal 2496 for the complete list of waived tests.
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