Billing Beat

New Waived Tests – MLN Matters Number: MM13253

July 10, 2023

There are 6 newly added waived complexity tests. These new tests must have the modifier QW to be recognized as a waived test.

The HCPCS code, effective date, and description for these latest tests are:

  • 87633QW, February 3, 2023, BIOFIRE Diagnostics, BIOFIRE SPOTFIRE System
  • 87801QW, March 7, 2023 Visby Medical Inc., Visby Medical Sexual Health Test (For

use with self-collected vaginal swabs)

  • 80305QW, March 21, 2023, Healgen Scientific LLC, Healgen Accurate Oral Fluid Drug

Test COT

  • 80305QW, April 14, 2023 Shenzhen Bioeasy Biotechnology Co., Ltd., U-Catch MAX

Multi-Drug Test Cup

  • 80305QW, April 28, 2023, Medical Disposables Corp., ON-Site One Step Drug Test

Cup

  • 80305QW, April 28, 2023, Medical Disposables Corp., ON-Site One Step Drug Test Dip

Card

The tests on the first page of the list attached to CR 13253, which are HCPCS codes 81002,

81025, 82270, 82272, 82962, 83026, 84830, 85013, and 85651, don’t require a QW modifier to

be recognized as a waived test.

Source: https://www.cms.gov/files/document/mm13253-new-waived-tests.pdf

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