In Billing
Nov 12th, 2019
Using 87804 x 2 might result in denial. If you’re performing a test that detects the flu via immunoassay in the office, your provider might test for two strains of the virus. Impact: When you file these claims properly, you’ll be paid for two flu tests rather than one. Read on for a bit of knowledge ...
Apr 24th, 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 ...
In Billing
Jul 26th, 2012
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 ...
Apr 12th, 2012
Certified facilities performing laboratory tests should be aware of a recent update to the list of codes subject to or excluded from Clinical Laboratory Improvement Amendments (CLIA) edits. New codes subject to CLIA edits and payable under Medicare are shown in the table below. Code Effective date Description G0434QW April 22, 2011 Diagnostic test group ...