decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-105
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Article Overview
This article summarizes a Medicare program memorandum about newly approved waived laboratory tests, the implementation timeline, and the associated CPT coding updates used by intermediaries and carriers. It is relevant to billing and laboratory coding staff who need to track HCFA/CLIA guidance, covered code file updates, and the general categories of point-of-care and waived testing addressed in the attachment.
Why This Topic Matters
It helps coding and reimbursement teams recognize which laboratory tests were added to the waived-test list, understand the timing of the program update, and monitor the CPT/QW coding references used in Medicare processing.
Article Sections
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Program Memorandum Overview
Introduces the memorandum, issuing agencies, subject, date, and the overall purpose of the update. It also notes the CLIA-related context and the intended operational audience.
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Implementation and Administrative Instructions
Provides the effective and implementation dates, contact information, and administrative handling guidance for contractors. It also includes general instructions about claim adjustments and document retention.
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Attachment: Test Name, Manufacturer, CPT Code(s), and Use
Lists the newly waived tests and related coding references in tabular form. The attachment organizes the test systems by manufacturer along with broad use categories and Medicare-related processing notes.
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Newly Added Waived Test Systems
Identifies additional waived test systems marked as newly added. This section presents the expanded list of affected test systems and corresponding coding references.
What You Will Learn
- The scope of a Medicare program memorandum concerning waived laboratory testing
- How the article frames CLIA-related coding updates for waived tests
- Which broad laboratory test categories are included in the memo attachment
- What administrative and implementation information accompanies the update
Who Should Read This
- Medical coders
- Laboratory billing staff
- Revenue cycle teams
- Medicare contractors
- Compliance personnel
Codes Discussed
Modifiers Discussed
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