Medical Billing Forum

Billing => Billing => : midwifebiller March 03, 2010, 01:15:24 PM

: CLIA
: midwifebiller March 03, 2010, 01:15:24 PM

I need to talk with someone who knows the nitties and gritties of the CLIA requirements. Specifically, the difference between waived tests and PPM.  Is anyone available??

Thanks.
Kelli

: Re: CLIA
: midwifebiller March 04, 2010, 04:43:58 PM

No takers, yet.  OK, here is a specific example.

A midwife needs to perform a glucose tolerance test (GTT) in her office to screen for gestational diabetes.  She has a glucometer (FDA approved for home use), draws blood from a vein (not a finger stick) and performs the GTT per standard protocol.  Is this a CLIA waived test or is does this test require a PPM certificate in order to send a claim to the insurance company?

[The uproar on the midwives' Yahoo group regarding this issue is quite impressive.  I would like to be able to offer some documented assistance.]

Thank you!

: Re: CLIA
: medauthor March 05, 2010, 12:15:14 AM

Kelli,

Look on the CMS website and enter the code and you can see if it is a CLIA waived test  :)