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US · guidance

CMS SOM App. C, Tag D6179

§493.1495 Standard: Testing personnel responsibilities

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

(b)(5) Be capable of identifying problems that may adversely affect test performance

or reporting of test results and either must correct the problems or immediately

notify the general supervisor, technical supervisor, clinical consultant, or director;

Interpretive Guidelines §493.1495(b)(5):

If, during the survey, testing personnel demonstrate an inability to identify a problem that

adversely affects a patient test result, cite D6102 §493.1445(e)(12) under the director

responsibilities.

Some examples of problems that may adversely affect patient test results may include:

• A pleural fluid that is mislabeled as a urine specimen and, therefore, is cultured as

a urine culture;

• Performing a potassium on a hemolyzed sample; or

• Tests are incubated at 37°C when the manufacturer’s instructions require 25°C

incubation.

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
2ad3f556b2f55597c5a78e7aa5f1352e036a25c64a6a17e94563955e00d52d6b
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