Asked by: Sory Yasser
asked in category: General Last Updated: 2nd January, 2020

Is CPT code 81002 CLIA waived?

The modifier QW CLIA waived test must be appended to all but a handful of CPT codes to be recognized as a waived test. Codes not requiring the QW are 81002, 82270, 82272, 82962, 83026, 84830, 85013, and 85651 . All the waived tests can be found in CR 11080.

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Similarly, does CPT code 81002 need a QW modifier?

However, the following tests do not require a QW modifier to be recognized as a waived test: CPT codes: 81002, 81025, 82270, 82272, 82962, 83026, 84830, 85013, and 85651.

Subsequently, question is, is QW modifier only for Medicare? Modifier QW is defined as a Clinical Laboratory Improvement Amendment (CLIA) waived test. If a provider currently has one Medicare Part B provider number covering more than one clinical lab testing site (e.g., an office on Main Street and an office on Oak Street), both sites require a CLIA number.

Similarly one may ask, what is a CLIA waived test?

Waived testing is laboratory testing that employs specific test methods designated under the Clinical Laboratory Improvement Amendments (CLIA) of the Food and Drug Administration (FDA) as "waived." Waived testing is designated by CLIA as simple tests that carry a low risk for an incorrect result.

Is CPT code 82948 CLIA waived?

82948. Uncontrolled diabetes mellitus (250.02–250.03, 250.92–250.93). We are a clia waived office and use "82962". (The code 82948 is classified as a moderately complex test and therefore would be denied if you only have a PPM (provider-performed microscopy) certificate as you have stated.

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