Reader's Question: CLIA Does Not Include 83009 and 86677

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

Article Overview

This short Q&A article explains a CLIA-related lab billing question for a provider-facility setting. It discusses the general categories of laboratory test complexity, the role of Medicare’s CLIA-waived listings, and why certain lab tests may or may not qualify for the waiver indicator. It is aimed at coders, billing staff, and practices that perform in-office laboratory testing.

Why This Topic Matters

Laboratory reporting can differ based on CLIA status, so understanding whether a test appears on the waived list affects claim submission and reimbursement workflow for in-office labs.

What You Will Learn

  • How CLIA categories relate to in-office laboratory testing
  • How Medicare’s waived test listing affects laboratory reporting
  • Why CLIA status matters for provider-facility lab billing
  • Where to look for CLIA-waived test information

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice administrators
  • In-office laboratory staff
  • Primary care and outpatient practices

Codes Discussed

Modifiers Discussed


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