Effective January 1, 2024
CMS has revised the QW code information for 80 tests and has added 24 new waived tests with their corresponding QW codes the FDA approved as of December 5, 2023.
CLIA regulations require a facility to be appropriately certified for each test they do. CMS edits laboratory claims at the CLIA certificate level to make sure that Medicare and Medicaid only pay for laboratory tests in a facility with a valid, current CLIA certificate.
You can find additional information by clicking on the link below: