CLIA Waived Tests Effective January 1, 2017

CLIA Waived Tests Effective January 1, 2017

The Centers for Medicare & Medicaid Services (CMS) has tweaked the tests it says are waived from Clinical Improvement Amendment of 1988 (CLIA), releasing the list effective January 1, 2017.

CLIA regulations require a facility to be certified for each test performed. To ensure that Medicare and Medicaid only pay for laboratory tests categorized as waived complexity under CLIA in facilities with a CLIA certificate of waiver, laboratory claims are edited at the CLIA certificate level. The Current Procedural Terminology (CPT) codes for the following new tests must have the modifier QW to be recognized as a waived test; however, some codes in the list below, such as 81002, 81025, 82270, 82272, 82962, 83026, 84830, 85013, and 85651,  do not require a QW modifier to be recognized as a waived test. Below are the codes and the dates for which the tests are waived:

  • G0477QW, February 12, 2016, Greenbrier International, Inc. Assured THC One Step Marijuana Test Cassette
  • G0477QW, February 12, 2016, Greenbrier International, Inc. Assured THC One Step Marijuana Test Strip
  • G0477QW, March 18, 2016, Safecare Biotech Urine Test Amphetamine Cassette
  • G0477QW, March 18, 2016, Safecare Biotech Urine Test Amphetamine Cup
  • G0477QW, March 18, 2016, Safecare Biotech Urine Test Amphetamine DipCard
  • G0477QW, March 18, 2016, Safecare Biotech Urine Test Cocaine Cassette
  • G0477QW, March 18, 2016, Safecare Biotech Urine Test Cocaine
  • G0477QW, March 18, 2016, Safecare Biotech Urine Test Cocaine DipCard
  • G0477QW, March 18, 2016, Safecare Biotech Urine Test Marijuana Cassette
  • 0477QW, March 18, 2016, Safecare Biotech Urine Test Marijuana Cup
  • G0477QW, March 18, 2016, Safecare Biotech Urine Test Marijuana DipCard
  • 83986QW, May 13, 2016, Teco Diagnostics OBGYN-VpH Vaginal pH Screening Kit
  • G0477QW, June 9, 2016, Native Diagnostics International DrugSmart Multi-Panel Drug Screen Cup Tests
  • G0477QW, June 9, 2016, Native Diagnostics International DrugSmart Multi-Panel Drug Screen Cup with OPI 2000 Tests
  • G0477QW, June 9, 2016, Native Diagnostics International DrugSmart Dip Multi-Panel Drug Screen Dip Card Tests
  • G0477QW, June 9, 2016, On-Site Testing Specialists, Inc. On-Site Testing Specialists Multi-Panel Drug Screen Cup Tests
  • G0477QW, June 9, 2016, On-Site Testing Specialists, Inc. On-Site Testing Specialists Multi-Panel Drug Screen Cup with OPI 2000 Tests
  • G0477QW, June 9, 2016, On-Site Testing Specialists, Inc. On-Site Testing Specialists Multi-Panel Drug Screen Dip Card Tests
  • G0477QW, June 9, 2016, On-Site Testing Specialists, Inc. On-Site Testing Specialists Multi-Panel Drug Screen Dip Card with OPI 2000 Tests
  • G0477QW, June 9, 2016, Alfa Scientific Designs, Inc. Instant-View Multi-Drug Urine Test Cup
  • G0477QW, June 9, 2016, Alfa Scientific Designs, Inc. Instant-View Multi-Drug Urine Test Panel
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Marijuana Dip Card Test
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Marijuana Quick Cup Test
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Marijuana Strip Test
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Marijuana Turn-Key Split Cup Test
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Methamphetamine Dip Card
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Methamphetamine Quick Cup Test
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Methamphetamine Strip Test
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Methamphetamine Turn-Key Split Cup Test
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Phencyclidine Dip Card Test
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Phencyclidine Quick Cup Test
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Phencyclidine Strip Test
  • G0477QW, July18, 2016, Assure Tech. Co., Ltd. AssureTech Phencyclidine Turn-Key Split Cup Test
  • 87631QW, July 25, 2016 Roche Molecular, cobas Liat System cobas Liat Influenza A/B & RSV Assay
  • G0477QW, July 28, 2016, Germaine Laboratories, Inc., AimScreen Multi-Drug Urine Test DipDevice
  • G0477QW, July 28, 2016, Germaine Laboratories, Inc., SafeCup II Multi-Drug Urine Test Cup
  • G0477QW, July 29, 2016, NexScreen LLC, NEXSCREEN Multi-Drug Urine Test Cup
  • G0477QW, July 29, 2016, NexScreen LLC, NEXSCREEN Multi-Drug Urine Test Dip Card
  • 86308QW, August 4, 2016, McKesson Consult Mononucleosis Test Cassette {whole blood}
  • 87880QW, September 4, 2016, Princeton BioMeditech StatusFirst Strep A

More information is available at the CMS website.

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Brad Ericson

Brad Ericson

Publisher at AAPC
Brad Ericson, MPC, CPC, COSC, has been publisher for more than nine years. Before AAPC he was at Optum for 13 years and at Aetna Health Plans before that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.
Brad Ericson

About Has 196 Posts

Brad Ericson, MPC, CPC, COSC, has been publisher for more than nine years. Before AAPC he was at Optum for 13 years and at Aetna Health Plans before that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.

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