CLIA Waived Tests Released for First Quarter 2011
- By admin aapc
- In Billing
- November 12, 2010
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The Centers for Medicare & Medicaid Services (CMS) updated, Nov. 5, its list of waived tests approved by the Food and Drug Administration (FDA) under the Clinical Laboratory Improvement Amendments of 1988 (CLIA), and instructed Medicare administrative contractors (MACs) to do the same. To ensure accurate claims payment, clinical diagnostic labs should follow suit.
CLIA regulations require a facility to be appropriately certified for each test performed.
Listed below are the latest tests approved by the FDA under the CLIA. Effective Jan. 1, 2011, the CPT® codes for the following tests must have the modifier QW CIA Waived test to be recognized as such.
| CPT® Code | Effective Date | Description |
| G0430QW | Jan. 1, 2010 | American Screening Corporation OneScreen Drug Test Cups |
| 84443QW | March 2, 2010 | Aventir Biotech LLC, Forsure TSH Test {Whole Blood} |
| 84443QW | March 4, 2010 | BTNX, Inc. Rapid Response Thyroid Stimulating Hormone (TSH) Test Cassette |
| G0430QW | April 21, 2010 | CLIAwaived, Inc. Rapid Drug Test Cup {OTC} |
| G0430QW | April 21, 2010 | Millennium Laboratories Clinical Supply, Inc. Multi-Drug Pain Med Screen Cup |
| G0430QW | May 10, 2010 | US Diagnostics ProScreen Drugs of Abuse Cup {OTC} |
| G0430QW | July 1, 2010 | Ameditech, Inc. ImmuTest Drug Screen Cup |
| G0430QW | July 4, 2010 | Quik Test USA, Inc. Multi-Drug of Abuse Urine Test |
| G0430QW | July 4, 2010 | Screen Tox Multi-Drug of Abuse Urine Test |
| 82274QW, G0328QW | July 8, 2010 | Consult Diagnostics Immunochemical Fecal Occult Blood Test (iFOBT) |
| G0430QW | July 19, 2010 | Alfa Scientific Designs, Inc. Instant-View Drug of Abuse Urine Cassette Test |
| G0430QW | July 19, 2010 | Alfa Scientific Designs, Inc. Instant-View Drug of Abuse Urine Cup Test |
| G0430QW | Aug. 18, 2010 | American Screening Corporation Reveal Multi-Drug Testing Cups |
| 87880QW | Aug. 18, 2010 | PSS Consult Diagnostics Strep A Dipstick |
CMS Transmittal 2084, Change Request (CR) 7184, issued Nov. 5, includes an attachment that lists all the current tests granted waived status under the CLIA.
Note that CPT® codes: 81002, 81025, 82270, 82272, 82962, 83026, 84830, 85013, and 85651 do not require modifier QW to be recognized as a waived test.
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