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Medical Coding News Archives

Remember CLIA Allows Providers to Perform PPMP

 
January 22, 2008:
Although most physician practices perform some type of microscopy service, many do not understand the effects this can have under the Clinical Laboratory Improvement Act (CLIA).

A subset of the moderate complexity tests, provider-performed microscopy procedures (PPMP) are given a unique classification and certification. This certificate is issued to a laboratory in which a physician, midlevel practitioner, or dentist performs no tests other than certain microscopy procedures (a moderately complex procedure involving a microscope; e.g., urine microscopic or KOH smear). This certificate permits the laboratory to also perform waived tests.

Routine on-site surveys are not required for a PPMP certificate, but these laboratories are subject to moderate-complexity requirements and can be surveyed as part of a routine survey for nonwaived tests or in response to a complaint.

Below are the provider-performed microscopy procedures:

Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens
Q0112 All potassium hydroxide (KOH) preparations
Q0113 Pinworm examinations
Q0114 Fern test
Q0115 Post-coital direct, qualitative examinations of vaginal or cervical mucous
81015 Urinalysis; microscopic only
81000 Urinalysis, by dipstick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy
81001 Urinalysis, by dipstick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy (Note: May be used only when the lab is using an automated dipstick urinalysis instrument approved as waived.)
81020 Urinalysis; two or three glass tests
89055 Fecal leukocyte examination (effective: January 1, 2004)
89190 Nasal smears for eosinophils
G0027 Semen analysis; presence and/or motility of sperm excluding Huhner

Deborah C. Hall
Clinical/Technical Editor

 

 
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