decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 6 (June)
CLIA-waived lab tests: FOB, drug & mono tests among newly-waived CLIA codes
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Article Overview
This article explains a set of recently waived CLIA laboratory tests and the Medicare-related coding updates tied to them. It is aimed at office staff, laboratory billers, and coding professionals who need to track CLIA waiver status, effective dates, and associated billing references from CMS guidance.
Why This Topic Matters
These updates affect whether certain office-based laboratory tests can be billed under Medicare and how claims should be identified as CLIA-waived. The article helps readers monitor newly available waived tests across fecal occult blood, drug screening, mononucleosis, chemistry, hematology, infectious disease, and related point-of-care testing.
Article Sections
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Overview of newly waived CLIA laboratory tests
Introduces the update on newly waived laboratory tests and the general billing context for Medicare and CLIA certification.
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Codes processable starting July 1
Lists one group of newly waived tests that carriers should be able to process beginning on a stated date, with associated effective dates.
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Codes processable on claims now
Lists another group of waived tests that are stated to be processable on claims immediately, along with their effective dates.
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Resources
Provides CMS transmittal and MLN reference links related to the waived laboratory code updates.
What You Will Learn
- How the article organizes newly waived CLIA laboratory tests
- Which general test categories are included in the update
- What CMS guidance documents are referenced
- How the article frames Medicare billing relevance for waived lab testing
Who Should Read This
- Medical coders
- Billing staff
- Laboratory personnel
- Office managers
- Compliance staff
Codes Discussed
Modifiers Discussed
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