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Medicare Part B to Cover New CLIA-Waived Tests on Oct. 1

by | Sep 12, 2022 | News, Open Content

Make sure your lab billing staff is aware of the changes to ensure full reimbursement.

Make sure your lab billing staff is aware of the eight new CLIA-waived tests the Centers for Medicare & Medicaid Services (CMS) has instructed its Medicare Administrative Contractors (MACs) to recognize, starting October 1, 2022. The following Healthcare Common Procedure Coding System (HCPCS) codes represent tests recently cleared by the FDA. You can get reimbursed for them under Medicare Part B, as long as you list the QW modifier:

As before, there are also certain CLIA-waived tests produced by multiple manufacturers (and thus have a CPT code rather than a proprietary HCPCS code associated with a single producer). These tests include:

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