MAR 29, 2022
Reimbursement for Dry Eye Test
What is the Medicare reimbursement for the dry eye test Inflammadry (83516)?
To find your state allowable for Medicare Part B: https://www.cms.gov/medicaremedicare-fee-service-paymentclinicallabfeeschedclinical-laboratory-fee-schedule-files/22clabq1
Additional Coding Clues from the
Ophthalmic Coding Coach
- Known as Inflammadry
- Practices must apply for Clinical Laboratory Improvement Amendments (CLIA) Certificate of Waiver. To apply, download and fill out the form from the Centers for Medicare & Medicaid Services (CMS) website, link here. There is a fee for processing the waiver request.
- The use of modifier -QW indicates this is a CLIA-waived test.
- MUE is 4