New Waived Tests for 2014

The CPT® codes the Centers for Medicare & Medicaid Services (CMS) considers to be laboratory tests under the Clinical Laboratory Improvement Amendments of 1998 (CLIA) change each year. CMS released, April 4, the latest CLIA-waived tests approved by the FDA.
Among them is new CPT® code 83516, assigned for the immunoassay test used to confirm a suspected diagnosis of dry eye.
In addition to including the CLIA number for each waived test on a claim, you must append modifier QW CLIA waived test to each of the following CPT® codes for them to be recognized as waived tests.

 CPT®  Effective Date  Description
87880QW  July 29, 2013  Poly stat Strep A Flip Test
G0434QW  August 1, 2013  Alere iScreen DX Multi-Drugs of Abuse Dip Test
G0434QW  September 10, 2013  Alere iScreen DX Single Dip Card (the Alere iScreen DX Single Dip Card may include a maximum of four drugs in any combination of the 13 claimed drugs)
85018QW  December 12, 2013  Alere HemoPoint H2 System
87804QW  December 13, 2013  Sofia Analyzer and Influenza A+B FIA
G0434QW  February 21, 2014  Ultimate Analysis Cup Inc. UA Cups Test Cards
G0434QW  February 21, 2014  Ultimate Analysis Cup Inc. UA Cups
83516QW  February 27, 2014  Rapid Pathogen Screening, Inc. InflammaDry

These codes have retroactive effective dates. Medicare administrative contractors (MACs) are not required to make good on claims you have already submitted for reimbursement. MACs, however, are required to reconsider all such claims brought to their attention.
Source: MLN Matters® MM8705

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No Responses to “New Waived Tests for 2014”

  1. Marilyn says:

    Where can I find listing of other waived lab tests?

  2. Debbie says:

    I would say to look on the CMS websites for the past waived tests. I hope that helps you.

  3. Kathy Thompson says:

    Here is the link to the latest CLIA document that CMS has on their website. Typically CMS issues updates for CLIA waived tests at least twice a year. The first sheet lists the latest updates from the FDA followed by the ongoing CLIA document that shows all the lab tests that can be run in a CLIA facility (ie physician office lab).

  4. Lisa Harmon says:

    I am looking for an overview on coding Pathology coding charges, and I would like to find some general information to get started. Any ideas?