HCPCS Codes Subject to and Excluded from CLIA Edits

MLN Matters Number: MM11640 Revised
Related CR Release Date: March 20, 2020
Related CR Transmittal Number: R10009CP
Related Change Request (CR) Number: 11640
Effective Date: April 1, 2020
Implementation Date: April 6, 2020

Note: CMS revised this article on March 24, 2020, to reflect an updated CR 11640. In the article, CMS revised the transmittal number, CR release date and link to the transmittal. All other information remains the same.

Note: On March 5, CMS released information about developing a second HCPCS billing code (U0002), which laboratories can use to bill for certain 2019-Novel Coronavirus (COVID-19) and SARS-Co-V-2 diagnostic tests to help increase testing and track new cases, in addition to a previous HCPCS billing code (U0001), which laboratories can use to test for SARS-Co-V-2. (See https://www.cms.gov/newsroom/press-releases/cms-develops-additional-code-coronavirus-lab-tests.)

CR 11640 informs the MACs about new HCPCS codes for 2020 that are subject to and excluded from Clinical Laboratory Improvement Amendment (CLIA) edits. Please make sure your billing staffs are aware of this update.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11640.

Last Updated Mar 26, 2020