Certificate for Provider-Performed Microscopy Procedures

70.6 - Certificate for Provider-Performed Microscopy Procedures (Rev. 865, Issued: 02-17-06; Effective: 01-01-06; Implementation: 07-03-06) Effective January 19, 1993, a laboratory that holds a certificate for provider-performed microscopy procedures may perform only those tests specified as provider-performed microscopy procedures and waived tests, as described below, and no others. HCPCS Code Test 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 only be used when the lab is using an automated dipstick urinalysis instrument approved as waived.) 81020 Urinalysis; two or three glass test 89055 Fecal leukocyte examination 89190 Nasal smears for eosinophils G0027 Semen analysis; presence and/or motility of sperm excluding Huhner