New CLIA waived CPT list - 2012

New Waived Tests 

Effective Date : January 1, 2012
Implementation Date : January 3, 2012

STOP- Impact to you
If you do not have a valid, current, Clinical Laboratory Improvement Amendments of 1998 (CLIA) certificate and submit a claim to your Medicare Carrier or A/B MAC for Current Procedural Terminology (CPT) code that is considered to be a laboratory test requiring a CLIA certificate, your Medicare payment may be impacted.

CAUTION _ What you need to know

CLIA requires that for each test it performs, a laboratory facility must be appropriately certified. The CPT codes that the Centers for Medicare & Medicaid Services (CMS) considers to be laboratory tests under CLIA (and thus requiring certification) change each year. Change Request (CR) 7566, from which this article is taken, informs carriers and MACs about the latest new CPT codes that are subject to CLIA edits.

GO – What you need to do

Make sure that your billing staffs are aware of these CLIA-related changes for 2012 and that you remain current with certification requirements.
Listed below are the latest tests approved by the Food and Drug Administration (FDA) as waived tests under CLIA. The CPT codes in the following table must have the modifier QW to be recognized as a waived test. However, CPT codes 81002, 81025, 82270, 82272, 82962, 83026, 84830, 85013, and 85651 do not require a QW modifier to be recognized as a waived test.

CPT Code
Effective Date
Description
81003QW
14-Feb-11
Germaine Laboratories Inc. AimStrip Urine Analyzer
G0434QW
22-Apr-11
UCP Biosciences, Inc. UCP Drug Screening Test Cups
G0434QW
22-Apr-11
Diagnostic Test Group Clarity Multiple Drug Screen Test Cups
81003QW
24-Mar-11
Mediwatch urinewatch Urine Analyzer
G0434QW
17-Jun-11
Insight Medical Drug of Abuse Urine Cassette Test
G0434QW
17-Jun-11
Insight Medical Drug of Abuse Urine Cup Test
G0434QW
17-Jun-11
Instant Technologies, Inc. iScreen Drug of Abuse Urine (Cassette) Test
G0434QW
17-Jun-11
Instant Technologies, Inc. iScreen Drug of Abuse Urine (Cup) Test
G0434QW
17-Jun-11
Jant Pharmacal Accutest Drug of Abuse Urine (Cassette) Test
G0434QW
17-Jun-11
Jant Pharmacal Accutest Drug of Abuse Urine (Cup) Test
G0434QW
17-Jun-11
Total Diagnostic Solutions Drug of Abuse Urine (Cassette) Test
G0434QW
17-Jun-11
Total Diagnostic Solutions Drug of Abuse Urine (Cup) Test
G0434QW
30-Jun-11
Diagnostic Test Group Clarity Simple Drug Screening Cups
G0434QW
30-Jun-11
Diagnostic Test Group Clarity Multi-Drug Test Cards
81003QW
14-Jul-11
Stanbio Uri-Trak 120 Urine Analyzer
G0434QW
21-Jul-11
UCP Biosciences, Inc. U-Checker Drug Screening Test Cups

2 comments:

Wenna Jones said...

Such a great information and I've been looking for this..

Anonymous said...

One Company not listed in article is the ONLY manufacturer of Waived BUP Test. American Bio Medica Corporation.

No other companies have this distinction!

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