What CPT codes are CLIA waived?
Certain codes describe only CLIA-waived tests and therefore are exempt from the requirement to add the QW modifier. The CPT codes for the tests currently exempt from the requirement are 81002, 81025, 82270, 82272, 82962, 83026, 84830, 85013, and 85651.
What is a CLIA non waived test?
Nonwaived testing is the term used to refer collectively to moderate and high complexity testing. Laboratories or sites that perform these tests need to have a CLIA certificate, be inspected, and must meet the CLIA quality standards described in 42 CFR Subparts H, J, K and M.
Is 87880 a CLIA waived test?
The laboratory codes must be reported with modifier -QW to be recognized as a CLIA waived test. 87880-QW, infectious agent antigen detection by immunoassay with direct optical observation; streptococcus, group A. Effective November 26, 2019.
What are some examples of CLIA waived tests?
CLIA Waived Drug Tests These are simple tests with a low risk for erroneous results. Drug test dip cards and drug test cups are considered CLIA Waived tests.
Is there a new CLIA test code for 80101?
New test code G0431 is a direct replacement for 80101. For purposes of the CLFS, beginning April 1, new test code G0431 should be utilized by those clinical laboratories that do not require a CLIA certificate of waiver. Clinical laboratories requiring a CLIA certificate of waiver should utilize new test code G0431-QW.
Are there any waived CPT codes for CLIA?
CLIA Waived Tests and CPT Codes DOH 681-018 April 2019Page 1of 56 Waived Tests and CPT Codes This list is for informational purposes only and may not accurately represent current CMS CPT codes. Please verify your tests waived status and CPT code prior to implementing testing. Test Name/Specific Test System Manufacturer Approved CPT Code(s)
When to use QW for CLIA waived tests?
Effective April 1, however, clinical laboratories requiring a CLIA certificate of waiver should use G0430-QW and G0431-QW to bill correctly, whether the performed drug screen test is for a single drug class or multiple drug classes. The modifier QW CLIA waived test should be appended to codes used for CLIA waived tests.
What is the new CLIA test code g0431?
For purposes of the CLFS, beginning April 1, new test code G0431 should be utilized by those clinical laboratories that do not require a CLIA certificate of waiver. Clinical laboratories requiring a CLIA certificate of waiver should utilize new test code G0431-QW.
