In Audit
Feb 20th, 2018
A specimen validity test performed on the same day as a urine drug test for the same person should be a rare occurrence because specimen validity testing is included in the description of HCPCS Level II codes for urine drug tests. Billing both tests separately is like double-dipping. And yet, Medicare paid 4,180 clinical laboratories and physician offices ...
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 ...
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 ...
In Billing
Apr 1st, 2011
The Centers for Medicare & Medicaid Services (CMS) has updated its Medicare Learning Network (MLN) payment system fact sheet for the Clinical Laboratory Fee Schedule (CLFS). In this fact sheet you will find background information and coverage of clinical laboratory services and payment rates updated for 2011. MLN CLFS Fact Sheet Updated for 2011 was ...