Laboratory Question for the Week of July 3, 2017

Laboratory Compliance Question of the Week


In the answer to the June 12, 2017, laboratory question, you indicated that G0432, G0433, and G0435 should be used for a screening test for HIV infection. Isn’t code G0475 also used for this test?


Yes, upon closer read of MM9980, the Centers for Medicare & Medicaid Services (CMS) say that MACs will recognize HCPCS codes G0432, G0433, and G0435 along with G0475—HIV antigen/antibody, combination assay, screening. For more details on this guideline, including the acceptable diagnosis codes to report, go to  


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