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CLIA Waived Tests and CPT Codes

DOH 681-018 April 2017 Page 1 of 47 Waived Tests and CPT Codes This list is for informational purposes only and may not accurately represent current CMS CPT Codes . Please verify your Tests Waived status and CPT code prior to implementing testing. Test Name/Specific Test System Manufacturer Approved CPT code (s) Adenovirus AdenoPlus (human eye fluid) Rapid Pathogen Screening, Inc. 87809QW Rapid Pathogen Screening RPS Adeno Detector Rapid Pathogen Screening, Inc. 87809QW Aerobic/Anaerobic Organisms - Vaginal Genzyme Diagnostics OSOM BVBLUE Test Gryphus Diagnostics, LLC 87905QW Gryphus Diagnostics BVBlue Gryphus Diagnostics, LLC 87905QW OBGYN-Vph Vaginal Ph Screening Kit Teco Diagnostics Pending Aerobic/Anaerobic/Viral Panel - Respiratory FilmArray Respiratory Panel EZ (RP EZ) (nasopharyngeal) Biofire Diagnostics, LLC Pending Albumin Abaxis Piccolo Blood Chem Analyzer WB (Chem)

Alere Cholestech LDX (cholesterol)(WB) Alere, Inc 82465QW Alere San Diego, Inc., Cholestech LDX {WB} Abbott 82465QW Arkray SPOTCHEM EZ Chem Analyzer (WB) Polymedco, Inc 82465QW Biomedix Inc Q Steps Biometer G/C Dual Monitoring System Biomedix, Inc. 82465QW ChemTrak AccuMeter Cholesterol Test System ChemTrak 82465QW

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