Medical Billing Forum

Billing => Billing => : tperian March 02, 2016, 06:24:29 PM

: Billing for NON-CLIA waived tests
: tperian March 02, 2016, 06:24:29 PM

I do drug screens (G0479) using a NON-CLIA waived test (Pictus 400 chemistry analyzer).  I can't seem to get paid on these.  Can someone help me go through the steps to make sure that I am not leaving something out that would cause my claims to not process?

: Re: Billing for NON-CLIA waived tests
: kristin March 02, 2016, 06:56:21 PM

Do you need the QW modifier? See here:

http://wpsmedicare.com/j8macpartb/resources/modifiers/qwmodifier.shtml

: Re: Billing for NON-CLIA waived tests
: tperian March 02, 2016, 07:04:53 PM

This is not a CLIA waived test.  It is a high complexity test.

: Re: Billing for NON-CLIA waived tests
: Michele March 03, 2016, 10:08:12 AM

Is it one insurance carrier in particular or across the board?  Is the provider registered to perform these tests?  Does Medicare and/or other insurance carriers have the lab information on file?