CLIA’88
Waived Tests
This is a list of CLIA ’88
waived tests that are typically performed in physician office settings. Certain
waived tests that are typically not performed in physician office settings have
been omitted.
For a complete and current
listing of every waived test by brand name, go to
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCLIA/search.cfm
|
CPT Code |
Medicare
2001 Fee Cap |
Test Name |
|
81002 |
$3.54 |
Dipstick/Tablet
Urinalysis |
|
81003QW |
$3.10 |
Clinitek
50 Urine Strip Analyzer, Bayer Corp.; Mini UA Roche Corp. |
|
82044QW |
$6.33 |
Dipstrip test for albumin, Chemstrip Micral, Roche
Corp.: Immunodip, DCL |
|
84830 |
$13.87 |
Ovulation
Test Kits |
|
81025 |
$8.74 |
Urine
Pregnancy Test Kits, Qualitative |
|
84703QW |
$10.38 |
Urine
Pregnancy Tests, Clinitek instrument |
|
83518QW |
$11.72 |
BTA
Stat Test For Bladder Cancer Antigen, Bion Diagnostics |
|
81007QW |
$3.55 |
Uriscreen
For Urinary Tract Infections, Diatech Diagnostics |
|
82055QW |
$14.93 |
Saliva
Alcohol Test, STC Diagnostics, QED Diagnostics |
|
80101QW |
$19.03 |
NicCheck
1 Test Strips, Dynagen |
|
82120QW |
$5.19 |
Fem
Exam Amines Test Card |
|
83986QW |
$4.95 |
Ph
Tests On Any Body Fluid Except Blood |
|
85651 |
$4.91 |
Sedimentation
Rate, Non-Automated |
|
82270
or G0107 |
$3.50 |
Fecal
Occult Blood, Diagnostic Fecal
Occult Blood, Screening |
|
82273QW |
$4.49 |
Gastric
Occult Blood Test, Beckman Coulter Corp. |
|
82985QW |
$20.83 |
Fructosamine,
LXN Corp. |
|
82962 |
$4.37 |
Glucose
Meters |
|
82951QW |
$14.11 |
Glucose
Tolerance Test, 3 Specimens |
|
83036QW |
$13.42 |
Hemoglobin
A1c On The DCA2000, Bayer Corp. |
|
85013 |
$3.27 |
Hematocrit,
Spun |
|
85014QW |
$3.27 |
CritSpin,
StatSpin Company |
|
85018QW |
$3.23 |
Hemoglobin,
Hemocue Method |
|
82465QW |
$4.57 |
Cholesterol Tests: Chemtrak, J & J, Roche, Actimed
Labs, Lifestream Technologies |
|
82465QW 82947QW 83718QW 84478QW 84460QW |
$4.57 $5.42 $11.31 $7.95 $7.32 |
Cholestech
L.D.X Instrument For: Cholesterol, Glucose,
HDL,
Triglycerides
- (CPT 80061 May Be Used For Lipid Panel - $18.51) ALT (SGPT) |
|
87880QW |
$16.58 |
Most
Rapid Strep Tests |
|
86318QW |
$17.89 |
Several
H. Pylori Tests |
|
85610QW |
$5.43 |
Prothrombin Time (Protime-
International Technidyne Corp, Avocet Medical And Coagucheck System
-Boehringer Mannheim Corp.) |
|
86308QW |
$7.15 |
Several Mononucleosis Test
Kits |
|
87899QW |
$16.58 |
Rapid Test for Influenza
(Quidel brand) |
|
86618QW |
$20.06 |
Rapid Test for Lyme Disease
(Wampole PreVue B. burgdorfeii Ab Detection Assay) |