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

• Author
• Recent Posts

Follow me

Renee Dustman

Managing Editor at AAPC

Renee Dustman, BS, AAPC MACRA Proficient, is managing editor - content & editorial at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 30 years' experience in journalistic reporting, print production, graphic design, and content management. Follow her on Twitter @dustman_aapc.

Follow me

Latest posts by Renee Dustman (see all)

• CMS Corrects Time Thresholds for Prolonged Services - March 14, 2023
• IDR Payment Determinations Resume Under No Surprises Act - March 3, 2023
• 7 Tips for Diagnostic Radiology Coding - March 1, 2023

New Waived Tests for 2014 was last modified: April 24th, 2014 by Renee Dustman

Related posts:

1. New Waived Tests Payable Under Medicare
2. FDA Approves New Waived Tests Under CLIA
3. New Waived Tests Have Retroactive Effective Dates
4. CLIA Waived Tests Update

About Renee Dustman Has 800 Posts

Renee Dustman, BS, AAPC MACRA Proficient, is managing editor - content & editorial at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 30 years' experience in journalistic reporting, print production, graphic design, and content management. Follow her on Twitter @dustman_aapc.

No Responses to “New Waived Tests for 2014”

1. Marilyn says:

   May 5, 2014 at 2:35 pm

   Where can I find listing of other waived lab tests?

2. Debbie says:

   May 5, 2014 at 8:28 pm

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

3. Kathy Thompson says:

   May 7, 2014 at 8:16 am

   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).
   http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R2919CP.pdf

4. Lisa Harmon says:

   May 9, 2014 at 7:33 am

   Hello,
   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?