TMPPM 2008 > Texas Medicaid Services > Independent Laboratory > Clinical Laboratory Improvement Amendments (CLIA)

   
 

26.2.3.1 Waiver Certificate

Providers holding waiver CLIA certificates are authorized to perform only the following tests. The following tests granted waiver status under CLIA were updated beginning September 27, 2002. The QW modifier is a CLIA requirement for specific codes based on their complexity and must be included or claims will be denied.

Procedure Codes

5-80061-QW

5-80101-QW

5-81002

5-81003-QW

5-81025

5-82010-QW

5-82044-QW

5-82055-QW

5-82120-QW

5-82270

5-82274-QW

5-82465-QW

5-82523-QW

5-82570-QW

5-82679-QW

5-82947-QW

5-82950-QW

5-82951-QW

5-82952-QW

5-82985-QW

5-83001-QW

5-83002-QW

5-83026

5-83036-QW

5-83518-QW

5-83605-QW

5-83718-QW

5-83880-QW

5-83986-QW

5-84450-QW

5-84460-QW

5-84478-QW

5-84703-QW

5-85013

5-85014-QW

5-85018-QW

5-85576-QW

5-85610-QW

5-85651

5-86294-QW

5-86308-QW

5-86318-QW

5-86618-QW

5-86701-QW

5-87077-QW

5-87210-QW

5-87449-QW

5-87804-QW

5-87880-QW

5-G0107


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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