How to code new CLIA-waived tests

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains recent CMS updates affecting CLIA-waived laboratory testing and the related billing codes used in office-based settings. It is relevant to coders, billers, and practice staff who need to track newly waived tests, effective dates, and the corresponding billing conventions discussed in CMS program memos.

Why This Topic Matters

Keeping up with CLIA-waived test coding changes helps practices avoid rejected claims and stay aligned with CMS updates for office testing services.

What You Will Learn

  • How CMS communicated new CLIA-waived test coding updates
  • Which categories of laboratory tests were added or updated
  • How effective dates are presented in relation to waived test coding
  • What documentation source the article cites for the coding updates

Who Should Read This

  • Medical coders
  • Medical billers
  • Compliance staff
  • Practice managers
  • Laboratory staff

Codes Discussed

Modifiers Discussed


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