How to Enter a CLIA Number on a Claim

How to Enter a CLIA Number on a Claim

1. To enter a CLIA (Clinical Laboratory Improvement Amendments) number for a clinician, click on the Settings + Directories drawer from the Chart Room filing cabinets on the right.

Screenshot for How to Enter a CLIA Number on a Claim

2. As a group administrator, find the clinician's name and click on it.

Screenshot for How to Enter a CLIA Number on a Claim

3. The CLIA # field will display so that you can enter the number for that clinician. 


When one of a number of substance abuse-related CPT codes is entered as the first code in the billing list for an encounter, the CLIA # will pull to that claim (box 23 in the HCFA/CSM 1500 and ANSI 837 Loop 2300 REF02).

Screenshot for How to Enter a CLIA Number on a Claim


The following codes trigger this:

80201 80302  80305  80306  80307 

80320

80321 80322 80323 80324 
80325 80326 80327 80328 80329 80330 80331 80332 80333 80334 
80335 80336 80337 80338 80339 80340 80341 80342 80343 80344 
80345 80346 80347 80348 80349 80350 80351 80352  

80353 

80354 
80355 80356 80357 80358 80359 80360 80361 80362 80363 80364 
80365 80366 80367 80368 80369 80370 80371 80372 80373 80374 
80375 80376 80377 81125  81126  81225 81226 81227  81229  81401  
81401  81479 82570  83992 84315   810028742682075873635 

Or any of the following deprecated codes:

  1. 80101 Urine Drug Screen
  2. 80104 Drug Screen
  3. G0434 Drug Screen
  4. H0049 Alcohol and/or Drug Screening

As noted above, one of these codes MUST be in the first line for an encounter as seen in the example below:​


For more information on CLIA, visit https://www.cms.gov/CLIA/

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