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    81002 87426 82075 873635  

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/