CMS Releases New CLIA-Waived Tests, Billing Codes
CMS notified contractors of new CLIA-waived tests effective January 1, 2015. There are 25 newly waived complexity tests, the latest approved by the FDA. The tests, listed in the table below, all require the QW modifier be attached to the CPT code for recognition as a waived test. CMS’s Transmittal indicates that contractors don’t have to go back to “retract payment or retroactively pay claims” but must adjust claims accordingly when brought to their attention. The following table provides a listing of the new CLIA-waived tests with their CPT Code, effective date and description. CPT CODE EFFECTIVE DATE DESCRIPTION 87807QW Mar. 18, 2014 BD Veritor System for Rapid Detection of RSV (For use with nasopharyngeal specimens) (Includes reader) G0434QW May 12, 2014 Native Diagnostics International, DrugSmart Dip Single/Multi-Panel Drug Screen Dip Card Test 87807QW May 30, 2014 Sofia RSV G0434QW June 9, 2014 Healgen THC One Step Marijuana Test Strip G0434QW June 9, 2014 Healgen THC One Step Marijuana Test Cassette G0434QW June 9, 2014 Healgen THC One Step Marijuana Test Cup G0434QW June 9, 2014 Healgen THC One Step Marijuana Test Dip Card G0434QW June 9, 2014 Healgen mAMP One Step Methamphetamine Test Strip G0434QW June 9, 2014 Healgen […]
CPT CODE | EFFECTIVE DATE | DESCRIPTION |
87807QW | Mar. 18, 2014 | BD Veritor System for Rapid Detection of RSV (For use with nasopharyngeal specimens) (Includes reader) |
G0434QW | May 12, 2014 | Native Diagnostics International, DrugSmart Dip Single/Multi-Panel Drug Screen Dip Card Test |
87807QW | May 30, 2014 | Sofia RSV |
G0434QW | June 9, 2014 | Healgen THC One Step Marijuana Test Strip |
G0434QW | June 9, 2014 | Healgen THC One Step Marijuana Test Cassette |
G0434QW | June 9, 2014 | Healgen THC One Step Marijuana Test Cup |
G0434QW | June 9, 2014 | Healgen THC One Step Marijuana Test Dip Card |
G0434QW | June 9, 2014 | Healgen mAMP One Step Methamphetamine Test Strip |
G0434QW | June 9, 2014 | Healgen mAMP One Step Methamphetamine Test Cassette |
G0434QW | June 9, 2014 | Healgen mAMP One Step Methamphetamine Test Cup |
G0434QW | June 9, 2014 | Healgen mAMP One Step Methamphetamine Test Dip Card |
87880QW | June 11, 2014 | Poly stat Strep A Strip Test {Specimen type (Throat Swab)} |
87880QW | June 25, 2014 | StrepAim {Specimen type (Throat Swab)} |
G0434QW | June 27, 2014 | Wal-Mart Stores, Inc. ReliOn Home Drug Urine Cup Test |
86308QW | July 7, 2014 | Jant Pharmacal Corp. Accutest Rapid Mono Test {Whole Blood} |
87880QW | July 9, 2014 | Cardinal Health Strep A Dipstick - Rapid Test (Throat Swab Specimen) |
G0434QW | July 18, 2014 | Healgen COC One Step Cocaine Test Strip |
G0434QW | July 18, 2014 | Healgen COC One Step Cocaine Test Cassette |
G0434QW | July 18, 2014 | Healgen COC One Step Cocaine Test Cup |
G0434QW | July 18, 2014 | Healgen COC One Step Cocaine Test Dip Card |
G0434QW | July 18, 2014 | Healgen MOP One Step Morphine Test Strip |
G0434QW | July 18, 2014 | Healgen MOP One Step Morphine Test Cassette |
G0434QW | July 18, 2014 | Healgen MOP One Step Morphine Test Cup |
G0434QW | July 18, 2014 | Healgen MOP One Step Morphine Test Dip Card |
81003QW | Aug. 8, 2014 | Medline 120 Urine Analyzer |
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