decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 10 (October)
Flu and FOB among newly-waived CLIA codes
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Article Overview
This article covers newly waived Clinical Laboratory Improvement Amendments (CLIA) laboratory tests and the billing identifiers associated with them. It is intended for practices that perform office-based lab testing and need to understand the general Medicare billing context, the affected test categories, and the CMS transmittal referenced in the notice. The article also notes effective dates for the listed waived tests and mentions the requirement to use a specific modifier with the applicable codes.
Why This Topic Matters
Offices that perform CLIA-waived testing need to know when a test becomes billable under waiver status and what CMS guidance applies. This helps billing staff and providers identify which newly approved tests are relevant to their workflows and claims processing.
What You Will Learn
- What newly waived CLIA laboratory tests are being highlighted
- What general billing context applies to office-based Medicare claims for these tests
- Which effective dates are associated with the listed waived tests
- What CMS guidance is referenced in connection with the update
Who Should Read This
- Medical coders
- Billing staff
- Office managers
- Primary care practices
- Laboratory staff
Codes Discussed
Modifiers Discussed
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