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Try CasePilot| Short Descr | Elisa hiv-1/hiv-2 screen | Coverage | Carrier Priced | Pricing Indicator(s) | 21 – Clinical Lab Fee Schedule - Price subject to national limitation amount | MPI | A – Not applicable, as HCPCS priced under one methodology | Lab Cert(s) | 140 – Virology | Processing Note | SEE CHANGE REQUEST 6786. | BETOS | T1H – Lab tests - other (non-Medicare fee schedule) | TOS Code(s) | 9 – Other medical items or services | Added Date | 12/8/2009 | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | CLIA Waived (QW) | Yes | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | MUE | 1 | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 233 - Laboratory - Chemistry and Hematology |
| QW | Clia waived test | GA | Waiver of liability statement issued as required by payer policy, individual case | 92 | Alternative laboratory platform testing: when laboratory testing is being performed using a kit or transportable instrument that wholly or in part consists of a single use, disposable analytical chamber, the service may be identified by adding modifier 92 to the usual laboratory procedure code (hiv testing 86701-86703, and 87389). the test does not require permanent dedicated space, hence by its design may be hand carried or transported to the vicinity of the patient for immediate testing at that site, although location of the testing is not in itself determinative of the use of this modifier. | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary |
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| 2013-01-01 | Changed | Change in administrative data field |
| 2011-01-01 | Changed | CMS Quarterly update file had description of "Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, antibody, HIV-1 or HIV-2, screening ". We changed our description changed to match the CMS FY 2011 File description. |
| 2010-04-01 | Added | Implementation date |
| 2009-12-08 | Added | Effective date |
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