All comments are moderated and will be removed if they violate our Terms of Use. Some terms for different types of molecular tests are diagnostic test, viral test, molecular test, nucleic acid amplification test (NAAT), RT-PCR test, and LAMP test. hb```, cb [jo0.J-=B0 6X`!3![{vww7 fq~Zz/Ou'5 Each point-of-care test has been authorized for use with certain specimen types and should only be used with those specimen types. K7q5H+l`Q`o$uH320p\!@Z! As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. The COVID-19 public health emergency will expire on May 11, 2023. The two HCPCS codes carry a higher Medicare . 6. This is not a substitute for current CPT and ICD-9 manuals and payer policies. COVID-19 | AAFP - American Academy of Family Physicians endstream endobj startxref For instance, you should not assume the codes apply only to nasal swabs. PDF UnitedHealthcare COVID-19 billing guide - UHCprovider.com Medical coding resources for physicians and their staff. Description. If so, what codes would I use? COVID-19-related office visits for COVID-19 vaccines, testing, and treatment, including preventative therapies and treatment of post-COVID conditions (long-haul COVID-19), and treatment of health conditions that may seriously complicate the treatment of COVID-19 during the period when a patient is diagnosed with or is presumed to have COVID-19. (MLN Connects May 7, 2020), Question: we are billing G2023 Commerical Payers Like BCBS, AETNA, UHC and CIGNA are paying for Primary care setting, my question that did commercial insurance payers also returned back paid claims amount, Can we used C9803 for out patient clinics. Question: Should CPT code 87635, a HCPCS Level II PDF COVID-19 and Telehealth Billing Guide for Medi-Cal Managed Care - Anthem 251 0 obj <>stream %PDF-1.6 % endstream endobj 141 0 obj <. The interim final rule states the second code, G2024, is necessary because the Social Security Act and CMS regulations require a higher fee for collecting a specimen from an individual in a SNF [skilled nursing facility] or by a laboratory on behalf of an HHA [home health agency]. the following CPT or HCPCS codes: HCPCS code G2023: Specimen collection for COVID19 [severe acute respiratory syndrome coronavirus 2 (SARS- -CoV-2)], any specimen source. up|q5fx=zmpkq~rFKs-;e1[Z{23f@Qor?8)~-750p40*ut }($2 B@Q 60x 9 i @ A%%9 @ And do you know what the reimbursement will be? Tech & Innovation in Healthcare eNewsletter, FDA Amends COVID-19 Vaccine Emergency Use Authorizations, Unlock the Full Potential of a Medical Coder, Trinity Health Centralizes EHR, Revenue Cycle, https://www.bcbsnd.com/coronavirus/covid-19providers/billing, Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique, CDC or non-CDC, making use of highthroughput technologies, completed within 2 calendar days from date of specimen collection, nfectious agent antigen detection by immunoassay technique, (e.g., enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; severe acute respiratory syndrome coronavirus (e.g, SARS-CoV, SARSCoV-2 [COVID-19]), Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) and influenza virus types A and B SD: SARSCOV & INF VIR A&B AG IA, Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected, Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), includes titer(s), when performed, Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-C0V-2) Qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected, Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]); titer, Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), amplified probe technique, including multiplex reverse transcription for RNA targets, each analyte reported as detected or not detected, Surrogate viral neutralization test (sVNT), severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), ELISA, plasma, serum, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative. Proper specimen collection is the most important step in the laboratory diagnosis of infectious diseases. (As of 01/21/2021) . }*3p~Q` g CMS Reimbursement FAQs COVID-19 | The National Law Review Effective March 9, 2021, MLabs will offer saliva as specimen type for SARS-CoV-2 (COVID-19), PCR (COVID) testing. Use code G2024 - Specimen collection for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), from an individual in a skilled . For individuals in a SNF or for individuals whose samples will be collected by a laboratory on behalf of an HHA, the fee will be $25.46. A lock icon or https:// means youve safely connected to the official website. More information on testing codes is available, Tech & Innovation in Healthcare eNewsletter, Check ICD-10-CM Official Guidelines Without Leaving Codify, Simplify Calculating Global Days for Procedure Codes in Codify, Coronavirus: What Every Medical Coder Needs to Know, New COVID-19 Test Codes Effective Immediately, Telehealth Coverage Expanded for Medicare Patients, https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf, https://www.ama-assn.org/system/files/2020-04/cpt-reporting-covid-19-testing.pdf, https://www.ama-assn.org/system/files/2020-04/covid-19-coding-advice.pdf, https://www.cms.gov/files/document/covid-19-laboratories.pdf, https://provider.excellusbcbs.com/en/resources/news/article?articleId=280991931&classPK=280991927, http://www.cms.gov/files/document/03092020-covid-19-. For specimen collection use *99000, *99001 or G2023. (Note: CPT Assistant is a paid subscription service. %PDF-1.6 % All Rights Reserved.