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September Update of CLIA-Waived Tests, Billing Codes

by | Feb 25, 2015 | CLIA-nir, CMS-nir, Essential, National Lab Reporter

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 […]

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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