Medicare Denial Code CO-B7 CLIA

Medicare Denial Code CO-B7 CLIA

Denial cause, motive/comment Code(s): 

• CO-B7: This supplier used to be now not licensed/eligible to be paid for this system/service on this date of carrier 

• CPT codes comprise: 82947 and 85610 

resolution 

• HCPCS modifier QW have to be submitted with detailed medical laboratory assessments which are waived from the scientific Laboratory development Amendments of 1988 (CLIA) list. The food and Drug Administration (FDA) determines which laboratory checks are waived. 

• word: not all CLIA-waived checks require HCPCS modifier QW 

• examine if the CPT code is a waived scan by using getting access to the CMS CLIA internet web page 

• Palmetto GBA will put up know-how on exams newly categorised as 'waived' on our site. Please word, the list of CLIA-waived techniques is updated as in general as quarterly. 

• The CLIA certificates number can be required on claims for CLIA waived checks. Publish this understanding in Loop 2300 or 2400, REF/X4, 02 for digital claims. For paper claims, submit the CLIA certification quantity in item 23 of the CMS-1500 declare form. 

• entry whole recommendations for safely submitting HCPCS modifier QW within the Palmetto GBA Modifier lookup software: 

o Jurisdiction 1: decide on 'Articles' on the left side of the Palmetto GBA net page 

o Ohio, South Carolina and West Virginia: opt for 'Browse by using subject' on the left aspect of the Palmetto GBA web web page.