CLIA Waived Status Available to Certified Providers for COVID-19 Testing

May 1, 2020

Effective for dates of service on or after March 20, 2020, in accordance with the recently published guidance from the Centers for Medicare & Medicaid Services (CMS), claims for HCPCS codes U0002 and CPT® code 87635 may be billed with modifier QW to indicate the provider is performing the procedure using a Clinical Laboratory Improvement Amendments (CLIA)-waived test kit. Providers should ensure they have a valid, current CLIA certificate before submitting claims for these codes with the QW modifier.

An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims.