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
|
Such a great information and I've been looking for this..
One Company not listed in article is the ONLY manufacturer of Waived BUP Test. American Bio Medica Corporation.
No other companies have this distinction!