decisionhealth Newsletters, Coder Pink Sheets - 2004 Issue 3 (March)
RSV tests & others receive new CLIA-waived codes
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Article Overview
This article explains a Medicare billing update for clinical laboratory tests that received CLIA-waived status. It is relevant to lab coders, compliance staff, and billing teams who track waived-test reporting, modifier requirements, and effective dates for respiratory, HIV, fecal occult blood, and strep testing. The piece also notes the CMS source for a broader list of waived lab tests.
Why This Topic Matters
Labs and billing teams need to know which tests received waived status and when the change takes effect so claims can be reported consistently and compliant with CLIA-waived testing rules.
What You Will Learn
- Which types of laboratory tests were newly recognized as CLIA-waived
- How the article frames the relationship between waived status and Medicare billing
- Which broad testing categories are affected by the update
- Where the article points readers for a fuller CMS list of waived laboratory tests
Who Should Read This
- Medical coders
- Lab billing staff
- Compliance teams
- Revenue cycle specialists
- Clinical laboratory administrators
Codes Discussed
Modifiers Discussed
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