CMS's New Waived Labs

March 2nd, 2011

Change request 7266 from Medicare adds some new waived labs and changes the codes on others.  To view the change request, visit:  http://www.cms.gov/transmittals/downloads/R2155CP.pdf.

If you scroll down to page 7 of the document, you will find a complete list of waived tests.

The new tests are:  

  • BTNX, Inc. Strep A Rapid Test
  • Consult Diagnostics Mononucleosis Cassette {Whole Blood}
  • BTNX Inc. Rapid Response Fecal Immunochemical Test (FIT)
  • American IVD Biotechnology Services Inc. FOB/CRC Advanced+
  • Amedica Biotech AmediCheck Instant Test Cup
  • Confirm Biosciences Drugconfirm instant multi-drug test kit, Multi-Drug of Abuse Urine Test
  • Insight Medical Multi-Drug of Abuse Urine Test
  • Jant Pharmacal Corporation Accutest Drug Test Cup
  • Micro Distributing II, Ltd Multi-Drug of Abuse Urine Test
  • Millennium Laboratories Multi-Drug of Abuse Urine Test
  • NexScreen LLC, NexScreen Cup
  • On the Spot Drug Testing Multi-Drug of Abuse Urine Test
  • Physicians’ Test Multi-Drug of Abuse Urine Test
  • Total Diagnostic Solutions Multi-Drug of Abuse Urine Test
  • UCP Biosciences, Inc. Drug Screening Test Cards
  • UCP Biosciences, Inc. Multiple Drug Screen Cups

Codes and implementation dates are available at the link above.

In addition, the change request changes the code from the popular G0431 code, "Drug screen, qualitative; single drug class method (e.g., immunoassay, enzyme assay), each drug class"  TO G0434QW "Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter."

This change was necessary to align Medicare with the changes in 2011 CPT. The screens impacted are:

  • Phamatech QuickScreen One Step Amphetamine Test,
  • Accu-Stat Drugs of Abuse Home Test for Marijuana (THC),
  • ADC CLIA Waived Marijuana (THC) Test,
  • First Check Diagnostics LLC, First Check Home Drug Test Marijuana,
  • Phamatech QuickScreen One Step THC Screening Test,
  • Phamatech At Home Drug Test (Model 9078),
  • Phamatech At Home Drug Test (Model 9078T),
  • Worldwide Medical Corporation, First CheckÔõö Home Drug Test (THC),
  • Phamatech At Home Drug Test (Model 9073),
  • Phamatech At Home Drug Test (Model 9073T),
  • Phamatech QuickScreen One Step Cocaine Screening Test,
  • Phamatech At Home Drug Test (Model 9068),
  • Phamatech QuickScreen One Step Methamphetamine Test,
  • DyanGen NicCheck II Test Strips,
  • Mossman Associates, Inc. NicCheck I Test Strips,
  • Phamatech At Home Drug Test (Model 9083),
  • Phamatech QuickScreen One Step Opiate Screening Test, and
  • Phamatech At Home Drug Test (Model 9133).
Tags: Waived Labs

Comments

There are no comments yet.

Leave a comment

Do not fill in this email field. It is used to detect spam bots.
Do not fill in this comment field. It is used to detect spam bots.
Recent Blog Posts
Recent Tweets