This PLA code officially became effective on April 1, 2020.
Attaining this alpha-numeric CPT code marks a step forward in the reimbursement process for families interested in the Clarifi autism saliva test.
“Being issued a unique CPT PLA code represents a major step toward securing Medicaid, Medicare, and private payer reimbursement for the Clarifi ASD test,” said CEO and Founder of Quadrant, Rich Uhlig.
Currently, Clarifi ASD is available in 49 states throughout the country, excluding New York. While it is not yet covered by insurance, it is being offered at an introductory price of $989. In the meantime, insured patients are encouraged to independently submit a claim for potential reimbursement. Families may also utilize their HSA or FSA accounts to cover the expense.
Clarifi ASD must be ordered and administered by a health care provider. After ordering test kits online, they will be shipped directly to the ordering HCP at no cost to the ordering practice.