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US · guidance

CMS SOM App. C, Tag D5989

§493.1359 Standard: PPM laboratory director responsibilities

activein force · 2026-07-22 – presentas-observed

(d) Evaluate and document the performance of individuals responsible for PPM

testing at least semiannually during the first year the individual tests patient

specimens. Thereafter, evaluations and documentation must be performed at least

annually.

Interpretive Guidelines §493.1359(d)

Provider-performed microscopy (PPM) procedure is a non-waived moderate complexity

test per §493.19(b)(2). The competency assessment intervals are the same as those for

moderate and high complexity.

If a CLIA Certificate of Compliance (CoC) or Certificate of Accreditation (CoA)

laboratory performs PPM procedures, then that laboratory is subject to all CLIA

regulations related to moderate complexity testing. In those laboratories with a CoC or

CoA, a technical consultant can perform competency assessment for moderate

complexity testing, including PPM procedures under §493.1413(b)(8). However, in a

CLIA certificate for PPM, the laboratory director is responsible for performing the

competency assessment.

History

Rev. 233; Issued: 09-12-25; Effective: 09-12-25; Implementation: 09-12-25

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
3e09921cb8688f18f5b5411741937fa03a02489cf5cb94d743e9bdee89cae3f9
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