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New Waived Tests - CMS

Page 1 of 3 New Waived Tests MLN Matters Number: MM10055 Related CR Release Date: May 12, 2017 Related CR Transmittal Number: R3771CP Related Change Request (CR) Number: 10055 Effective Date: January 1, 2017 Implementation Date: July 3, 2017 PROVIDER TYPE AFFECTED This MLN Matters Article is intended for clinical diagnostic laboratories submitting claims to Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries. PROVIDER ACTION NEEDED Change Request (CR) 10055 informs MACs of new Clinical Laboratory Improvement Amendments of 1988 (CLIA) Waived Tests approved by the Food and Drug Administration (FDA). Since these Tests are marketed immediately after approval, the Centers for Medicare & Medicaid Services (CMS) must notify MACs of the new Tests so that they can accurately process claims.

May 12, 2017 · new tests must have the modifier QW to be recognized as a waived test. However, the tests mentioned on the first page of the attached list (that is, CPT codes: 81002, 81025, 82270, 82272, 82962, 83026, 84830, 85013, and 85651) do not require a QW modifier to be recognized ... Subject: New Waived Tests

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