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
|
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