decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 8 (August)
86999 is exempt from CLIA regs
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Article Overview
This short article addresses CLIA requirements for a specific unlisted laboratory-related procedure code used in a therapeutic context. It is intended for coders, billing staff, and clinical practices that need to understand whether CLIA certification is implicated for this type of service and where to find official CMS reference materials.
Why This Topic Matters
CLIA status can affect whether a practice may report and bill certain lab-related services. Understanding the article helps practices confirm the broad regulatory category involved and identify the official CMS resources referenced by the author.
What You Will Learn
- How the article frames CLIA applicability for a therapeutic blood-processing service
- Where the article points readers for official CMS CLIA reference materials
- What general type of service context the article discusses for billing and laboratory compliance review
- How an unlisted procedure code is presented in relation to laboratory regulation
Who Should Read This
- Medical coders
- Billing staff
- Practice administrators
- Clinical laboratory compliance personnel
- Physician practices
Codes Discussed
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Quick, Current, Complete - www.findacode.com