Part B Insider (Multispecialty) Coding Alert

Physician Notes:

CMS Confirms Codes for 16 CLIA-Waived Lab Tests

Plus: President Obama proposes freezing physician pay rates for another two years.

Part B practices will have 16 new tests that you'll be able to report as "CLIA-waived," thanks to a Feb. 11 CMS transmittal on the matter. According to MLN Matters article MM7266, CMS will now consider these tests CLIA-waived.

You'll have to append modifier QW (CLIA-waived test) to these codes, which include the following, among others:

  • 87880 -- BTNX, Inc. Strep A Rapid Test
  • 86308 -- Consult Diagnostics Mononucleosis Cassette (Whole Blood)
  • 82274 and G0328 -- BTNX, Inc. Rapid Response Fecal Immunochemical Test
  • G0434 -- Amedica Biotech AmediCheck Instant Test Cup
  • G0434 -- On the Spot Drug Testing Multi-Drug of Abuse Urine Test

To read the complete list of new CLIA-waived tests, visit www.cms.gov/MLNMattersArticles/Downloads/MM7266.pdf.

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