Laboratory Question for the Week of February 29, 2016

Laboratory Compliance Question of the Week


What code should be used on claims for CLIA-waived tests?


For claims with dates of service (DOS) on and after January 1, 2016, the following code should be reported instead:

G0477QW Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service

For claims with DOS up until December 31, 2015, the following code is reported: 

G0434QW Drug screen, other than chromatographic; any number of drug classes, by CLIA waived test or moderate complexity test, per patient encounter

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.