CLIA Waived Products
Coding and Reimbursement
The following CPT® codes are provided as a reference and are based on the American Medical Association (AMA) coding guidelines. Under Federal and State law, each provider is responsible for determining the appropriate CPT® code and reimbursement amounts for services rendered. Coding and reimbursement levels vary in different parts of the country and are subject to change. Stanbio Laboratory recommends that providers consult with their regional reimbursement authority to determine the appropriate CPT® codes and reimbursement levels prior to submitting claims.
| Product | Product Description | Specimen | CPT® Code | Medicare Clinical Lab Fee Schedule 2011 (National Limit) |
|---|---|---|---|---|
|
STAT-Site® MHgb | whole blood | 85018QW* | $3.35 |
|
RELY™ H. pylori Rapid Test | serum, plasma | 86318 | $18.34 |
| whole blood | 86318QW* | |||
|
RELY™ Mono Rapid Test | serum, plasma | 86308 | $7.33 |
| whole blood | 86308QW* | |||
|
QuStick Strep A | throat swab | 87880QW* | $16.99 |
|
QuPID®, QuPID® Plus, QuPID® Plus ER | urine | 81025 | 8.96 |
| serum | 84703 | 10.64 | ||
|
True 20 and True 20 Plus | urine | 81025 | 8.96 |
| serum | 84703 | 10.64 | ||
|
Hema-Screen® Occult Blood Test | stool | 82270 | $4.61 |
|
Uri-Chek™ 10SG Reagent Strips | urine | 81002 | $3.62 Visual |
| 81003QW* | $3.18 Automated | |||
|
αlphα® | urine | 81025 | 8.96 |
| serum | 84703 | 10.64 |
* QW Modifier added to report use of CLIA waived test system(s) for Medicare/Medicaid claims.
CPT® is a registered trademark of the American Medical Association (AMA).