Laboratory Question for the Week of June 13, 2016

Laboratory Compliance Question of the Week

Question:

Where can we find the lab and pathology codes that are subject to CLIA edits? 

Answer:

For the list of 2016 CPT-4 and HCPCS codes subject to CLIA Edits, go to https://www.cms.gov/regulations-and-guidance/legislation/clia/downloads/subjecttoclia.pdf.  

For tests (CPT-4 Codes) excluded from CLIA Edits (within the 80000 series), go to https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/downloads/cpt4exc.pdf.

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.