Certificate for Provider-Performed Microscopy Procedures (Rev. 865, 07-03-06)

by  Jared Staheli
July 10th, 2015

Effective January 19, 1993, a laboratory that holds a certificate for provider-performed microscopy procedures may perform only those tests specified as provider-performed microscopy procedures and waived tests, as described below, and no others.

HCPCS Code Test
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens
Q0112 All potassium hydroxide (KOH) preparations
Q0113 Pinworm examinations
Q0114 Fern test
Q0115 Post-coital direct, qualitative examinations of vaginal or cervical mucous
81015 Urinalysis; microscopic only
81000 Urinalysis, by dipstick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy
81001 Urinalysis, by dipstick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy (NOTE: May only be used when the lab is using an automated dipstick urinalysis instrument approved as waived.)
81020 Urinalysis; two or three glass test
89055 Fecal leukocyte examination
89190 Nasal smears for eosinophils
G0027 Semen analysis; presence and/or motility of sperm excluding Huhner

References:

Certificate for Provider-Performed Microscopy Procedures (Rev. 865, 07-03-06). (2015, July 10). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/certificate-for-provider-performed-microscopy-procedures-rev-865-07-03-06-27216.html

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