question 12

what modifier must always be applied to medicare claims for tests performed in a site with a clia waived certificate?

26
91
90
qw

Question

question 12

what modifier must always be applied to medicare claims for tests performed in a site with a clia waived certificate?

26
91
90
qw

Accepted Answer

{ "quality": "clear", "question_count": 1, "skills_matched": [ "direct_cot", "multiple_choice_formatter", "explain_then_answer", "quick" ], "needs_drawing": false, "concepts_used": [ "CLIA Waived Testing Modifier" ], "new_concepts": [], "current_concepts": [ "CLIA Waived Testing Modifier", "CPT Modifiers", "Medical Billing" ] } ## Identify the regulatory requirement for CLIA-waived tests Medicare requires providers performing laboratory tests in a facility with a Clinical Laboratory Improvement Amendments (CLIA) Certificate of Waiver to append a specific modifier to the billing code to identify that the test was performed under waived status. ## Evaluate the given modifier options - **26**: Professional Component - **91**: Repeat Clinical Diagnostic Laboratory Test - **90**: Reference (Outside) Laboratory - **QW**: CLIA Waived Test

26

91

90

QW

{ "subject": "Others", "question_type": "Multiple Choice", "knowledge_point": [ "Others", "Medical Billing and Coding", "CLIA Waived Testing Modifier" ] }

Sovi.AI - AI Math Tutor

QUESTION IMAGE

Question

Explanation:

Identify the regulatory requirement for CLIA-waived tests

Evaluate the given modifier options

Answer: