What modifier does CLIA use?
Modifier QW
Modifier QW is used to indicate that the diagnostic lab service is a Clinical Laboratory Improvement Amendment (CLIA) waived test and that the provider holds at least a Certificate of Waiver. The provider must be a certificate holder in order to legally perform clinical laboratory testing.
What CPT codes are CLIA waived?
CLIA Waived Tests List CPT Codes
- CPT 81002: URINALYSIS NONAUTO W/O SCOPE.
- CPT 81025: URINE PREGNANCY TEST.
- CPT 82270: OCCULT BLOOD FECES.
- CPT 82272: OCCULT BLD FECES 1-3 TESTS.
- CPT 82962: GLUCOSE BLOOD TEST.
- CPT 83026: HEMOGLOBIN COPPER SULFATE.
- CPT 84830: OVULATION TESTS.
- CPT 85013: SPUN MICROHEMATOCRIT.
Does CPT 81003 need a QW modifier?
Providers possessing a Clinical Laboratory Improvement Amendments (CLIA) Certificate of Wavier or Provider – Performed Microscopy Procedures (PPMP) must utilize a test kit and bill the program utilizing a QW modifier with for the following codes: 80061, 80101, 81003, 81007,82010, 82044, 82055, 82120, 82273, 82274.
What does CLIA waived mean?
A device that is CLIA Waived does not require highly trained laboratory personnel to administer the test and does not require costly laboratory quality control testing.
What is the difference between 81002 and 81003?
Usually, the automated (81001, 81003) method leads to a print-out from the machine used. In contrast, the non-automated (81000, 81002) method leads to documentation by the tester.
Is modifier 95 required for telehealth services?
Physicians should append modifier -95 to the claim lines delivered via telehealth. Claims with POS 02 – Telehealth will be paid at the normal facility rate, which is typically less than the non-facility rate under the Medicare physician fee schedule.
What is 59 modifier used for?
Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances.