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Clarification on the Effective Date on the Procedure Status Indicator for Common Procedural Terminology (CPT) Code 80101

This Change Request is to clarify that the effective date for the change of
the Procedure Status indicator to I for CPT codes 80101 and 80101QW has been set to January 1, 2010 to
maintain consistency for all claims. For claims with DOS on or after January 1, 2010, clinical laboratories
shall submit claims with the new test HCPCS code G0431 or G0431QW.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: September 24, 2010

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.