(HCPCS) Codes Subject to and Excluded from (CLIA) Edits
May 1, 2008Effective Date: January 1, 2008. Implementation Date: April 7, 2008
CR 5926 informs carriers and A/B MACS about the new HCPCS codes for 2008 that are subject to CLIA edits and also about those that are now excluded from CLIA edits. The HCPCS codes listed in the chart that follows are new for 2008 and are subject to CLIA edits.
| HCPCS Code | Description |
| 80047 | Basic metabolic panel (Calcium, ionized) |
| 82610 | Cystatin C |
| 83993 | Calprotectin, fecal |
| 84704 | Gonadotropin, chorionic (hCG); free beta chain |
| 86356 | Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen |
| 87500 | Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique |
| 87809 | Infectious agent antigen detection by immunoassay with direct optical observation; adenovirus |
| 88381 | Microdissection (ie, sample preparation of microscopically identified target); manual |
| 89322 | Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) |
| 89331 | Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) |
- The HCPCS code 86586 [Unlisted antigen, each] was discontinued on 12/31/2007.
- For 2008, the new HCPCS code 86486 [Skin test; unlisted antigen, each] is excluded from CLIA edits and does not require a facility to have any CLIA certificate.