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CLIA Waived Tests and CPT Codes

DOH 681-018 May 2020 Page 1 of 61 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 Quidel, AdenoPlus Test, Adeno Detector, Detecor Plus (Tear Fluid) Quidel Corporation 87809QW Quidel Corporation, QuickVue Adenoviral Conjunctivitis Test {Tear Fluid} Quidel Corporation 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 13, CMP, Renal) Abaxis, Inc 82040QW Abaxis Pi

MDMA, Morphine, PCP, Oxycodone, Buprenorphine, Methadone, Tricyclic antidepressants) Guanhzhou Wondfo Biotech., LTD. 80305QW Marijuana & Cocaine Home Drug Test (OTC) Alatex Scientific 80305QW Multiple Drugs of Abuse Test Advantage Diagnostics Corp 80305QW Alere iCassette Drug Screen (amphetamines, cocaine metabolites,

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