Part B Insider (Multispecialty) Coding Alert

Physician Notes:

Look for New CLIA-Waived Tests Thanks to CMS Transmittal

Plus: CMS finds that insufficient documentation and medically unnecessary services are the top errors in 2010.

You'll have 14 new tests that you'll be able to report as "CLIA-waived," thanks to a Nov. 5 CMS transmittal on the matter. According to MLN Matters article MM7184, CMS will now consider these tests CLIA-waived. You'll have to append modifier QW (CLIA-waived test) to these codes, which include the following, among others:

  • American Screening Corp. OneScreen Drug Test Cups -- G0430 -- Effective Jan. 1, 2010
  • BTNX, Inc. Rapid Response Thyroid Stimulating Hormone Test Cassette -- 84443 -- Effective March 4, 2010
  • U.S. Diagnostics ProScreen Drugs of Abuse Cup -- G0430 " Effective May 10, 2010
  • Consult Diagnostics Immunochemical Fecal Occult Blood Test -- 82274, G0328 -- Effective July 8, 2010
  • PSS Consult Diagnostic Strep A Dipstick -- 87880 -- Effective Aug. 18, 2010

To read the complete list of new CLIA-waived tests, visit www.cms.gov/MLNMattersArticles/downloads/MM7184.pdf.

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