By customers demand we now have 11 panel QTEST CLIA waived cup. QTEST drug test cup tests for 11 drugs simultaneously. CLIA (Clinical Laboratory Improvement Amendments) regulations specified that CLIA waived category of laboratory and rapid tests are the easiest and they meet certain requirements established by the statute as a most mistake protected tests. CLIA waived testing procedure are reimbursable by insurance companies.
CPT Codes and
Reimbursement Information for the CLIA Waived Test Kits
Test
Description
Average Reimbursement
National Limit*
CPT Code
Strep A Test Kit Strip or Device
$16.76
87880
Drugs of Abuse Urine Multi Drug Panel, Cassette or Cups
$20.32 per drug class
80101
Drugs of Abuse Urine Test GC or HLPC Method
$19.24
80100
Hemosure Immunological Fecal Occult Blood Test
$22.22
Diagnostic 87774QW Screening G0328QW
Thyroid Gland Test Thyrocheck
$23.00
84443
* - The above listed Average Reimbursement Limit are provided for estimates
only and are subject to change and not guaranteed. For the current actual
state by state rates schedule, please visit: www.cms.hhs.gov
BILLING NOTE FOR DRUGS OF ABUSE TESTS: DOA drug screens
are usually billed out as 80101 x the drug class. So, for a NIDA 5 (AMP/COC/OPI/PCP/THC),
it would be 80101 x 5. If it's a modified NIDA -5, however, like AMP/MAMP/COC/OPI/THC,
it's only 80101 x 4 since Amp and Meth are both in the same drug class.
Be aware that CLIA waived drug tests have a modifier next to their CPT
code...QW80101. With drug screens, different reagents (antibodies/antigens)
must be used to detect the different drug/drug class that is why you
bill per class. The average reimbursement rate per drug class in this
method is $19.24.
There is another billing code 80100. That one refers
to a chromatographic method (such as GC or HPLC) where the same reagents
are used to detect multiple drugs/drug classes simultaneously. In the
case of 80100, the reagents are static. And you bill once for all drugs
combined. The average reimbursement here total is $20.32.
For Wholesale Inquiries
Please Visit www.vitrodiagnostic.com
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