September Update of CLIA-Waived Tests, Billing Codes
The Sept. 6, 2013, update to the list of tests waived under the Clinical Laboratory Improvement Amendments (CLIA) includes 14 tests approved by the Food and Drug Administration. When billing for the tests below, you must use the QW modifier. This enables your local Medicare contractor to recognize the code as waived. CPT CODE EFFECTIVE […]
The Sept. 6, 2013, update to the list of tests waived under the Clinical Laboratory Improvement Amendments (CLIA) includes 14 tests approved by the Food and Drug Administration. When billing for the tests below, you must use the QW modifier. This enables your local Medicare contractor to recognize the code as waived.
| CPT CODE | EFFECTIVE DATE | DECRIPTION |
| G0434QW | Jan. 23, 2008 | Phamatech At Home 12 Drug Test (Model 9308T) |
| G0434QW | Jan. 23, 2008 | Phamatech At Home 12 Drug Test (Model 9308Z) |
| 81003QW | Jan. 29, 2013 | Henry Schein Urispec Plus Urine Analyzer |
| G0434QW | Feb. 27, 2013 | CLIAwaived Inc. Rapid Test Cup |
| G0434QW | Feb. 27, 2013 | Clinical Reference Laboratory Inc. Intelligent Transport Cup |
| G0434QW | Feb. 27, 2013 | Noble Medical Inc. Noble 1 Step Cup |
| G0434QW | Feb. 27, 2013 | Premier Integrity Solutions P/Tox Drug Screen Cup |
| G0434QW | Feb. 27, 2013 | US Diagnostics ProScreen Drugs of Abuse Cup |
| 84443QW | March 5, 2013 | BTNX Rapid Response TSH Test Cassette (Whole Blood) |
| 86308QW | March 11, 2013 | Henry Schein OneStep Pro+Mono (Whole Blood) |
| G0434QW | May 15, 2013 | UCP Biosciences Inc. UCP Home Drug Screening Test Cups |
| G0434QW | May 17, 2013 | Alere Toxicology Services Inc. Tox Screen Drugs of Abuse Test Cups |
| G0434QW | June 24, 2013 | Advin Multi-Drug Screen Test |
| 87880QW | July 3, 2013 | Henry Schein OneStep Pro+ Strep A Cassette |
The September update, plus a complete list of CLIA-waived devices, can be found in Change Request 8439 (Transmittal 2779), at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R2779CP.pdf. The transmittal has an implementation date of Jan. 6, 2014.
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