Internet Only Manual Update to Publication 100-04, Chapter 16, Sections 70.5, 70.8, and 70.9 to Remove References to the CLIA Files

Related CR Release Date: June 23, 2022
Related CR Transmittal Number: R11463CP
Related Change Request (CR) Number: 12766
Effective Date: July 25, 2022
Implementation Date: July 25, 2022

CR 12766 revises the claims processing manual, publication 100-04, chapter 16, sections 70.5, 70.8, and 70.9. These changes are being made to remove the references to the Clinical Laboratory Improvement Amendments (CLIA) files.

These files are mentioned in the following chapter 16 sections:

  • 70.5 - CLIA Categories and Subcategories
  • 70.8 - Certificate of Waiver
  • 70.9 - Healthcare Common Procedure Coding System Subject To and Excluded From CLIA Edits

Information regarding CLIA test complexity categorization can be found by searching the U.S. Food and Drug Administration website (www.fda.gov).

View the complete CMS Change Request (CR)12766.

Last Updated Jun 30 , 2022