{"id":1195,"date":"2020-05-20T13:52:43","date_gmt":"2020-05-20T13:52:43","guid":{"rendered":"http:\/\/ircmhealth.com\/new\/?p=1195"},"modified":"2020-05-20T13:52:49","modified_gmt":"2020-05-20T13:52:49","slug":"covid-19-payment-for-diagnostic-laboratory-tests","status":"publish","type":"post","link":"https:\/\/ircmhealth.com\/new\/covid-19-payment-for-diagnostic-laboratory-tests\/","title":{"rendered":"COVID-19: Payment for Diagnostic Laboratory Tests"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p>Earlier this year, CMS took action to ensure America\u2019s patients, health care facilities, and clinical laboratories were prepared to respond to the 2019-Novel Coronavirus (COVID-19).&nbsp;To help increase testing and track new cases, CMS developed two HCPCS codes that laboratories can use to bill for certain COVID-19 diagnostic tests. Health care providers and laboratories may bill Medicare and other health insurers for SARS-CoV2 tests performed on or after February 4 using: &nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>HCPCS code U0001 for tests developed by the Centers for Disease Control and Prevention (CDC)<\/li><li>HCPCS code U0002 for non-CDC laboratory tests for SARS-CoV-2\/2019-nCoV (COVID-19)<\/li><\/ul>\n\n\n\n<p>Laboratories and other health providers can also bill Medicare for tests using CPT codes created by the American Medical Association, provided testing uses the method specified by each CPT code:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>CPT code 87635 for infectious agent detection by nucleic acid tests for dates of service on or after March 13<\/li><li>CPT codes 86769 and 86328 for serology tests for dates of service on or after April 10<\/li><\/ul>\n\n\n\n<p>Finally, for dates of service on or after April 14, 2020,&nbsp;<a href=\"https:\/\/lnks.gd\/l\/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDAsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMDA1MTkuMjE3NTI2MzEiLCJ1cmwiOiJodHRwczovL3d3dy5jbXMuZ292L2ZpbGVzL2RvY3VtZW50L2Ntcy0yMDIwLTAxLXIucGRmIn0.0CpcmZ-jjJFH7PrkhBWEsiVDxGVL_na84VcL75VMfq4\/br\/78852208644-l\">Medicare pays $100 for laboratory tests for the detection of SARS\u2013CoV\u20132 or the diagnosis of the virus that causes COVID\u201319 making use of high throughput technologies<\/a>. Laboratories can bill Medicare for these tests using:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>U0003: 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, making use of high throughput technologies as described by CMS-2020-01-R.<\/li><li>U0004: 2019-nCoV Coronavirus, SARS-CoV-2\/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC, making use of high throughput technologies as described by CMS-2020-01-R.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Earlier this year, CMS took action to ensure America\u2019s patients, health care facilities, and clinical laboratories were prepared to respond to the 2019-Novel Coronavirus (COVID-19).&nbsp;To help increase testing and track new cases, CMS developed two HCPCS codes that laboratories can use to bill for certain COVID-19 diagnostic tests. Health care providers and laboratories may bill [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-1195","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/ircmhealth.com\/new\/wp-json\/wp\/v2\/posts\/1195","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ircmhealth.com\/new\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ircmhealth.com\/new\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ircmhealth.com\/new\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ircmhealth.com\/new\/wp-json\/wp\/v2\/comments?post=1195"}],"version-history":[{"count":1,"href":"https:\/\/ircmhealth.com\/new\/wp-json\/wp\/v2\/posts\/1195\/revisions"}],"predecessor-version":[{"id":1196,"href":"https:\/\/ircmhealth.com\/new\/wp-json\/wp\/v2\/posts\/1195\/revisions\/1196"}],"wp:attachment":[{"href":"https:\/\/ircmhealth.com\/new\/wp-json\/wp\/v2\/media?parent=1195"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ircmhealth.com\/new\/wp-json\/wp\/v2\/categories?post=1195"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ircmhealth.com\/new\/wp-json\/wp\/v2\/tags?post=1195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}