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News - Billing & Coding for COVID-19

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Latest Code Updates for Testing

CPT

    • 87635 - 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. 

Earlier this month the American Medical Association announced the approval of a new CPT code to describe lab testing for COVID-19. This code is effective immediately and will help to efficiently report and track testing services related to COVID-19 and will streamline the reporting and reimbursement for this test in the United States.

See below to access the corresponding CPT Assistant Guide provided by the AMA:

Reporting Severe Acute Respiratory Syndrome Coronavirus Laboratory Testing

HCPCS

    • U0001 - Used for Lab test developed by the CDC for SARS-CoV-2

    • U0002 - Used for Lab test developed by other Entities for SARS-CoV-2/2019-nCoV (COVID-19)

Earlier in 2020, these HCPCS codes and the following ICD-10 diagnosis code were also created for coding & billing the tests associated with COVID-19.

You will need to follow your payer guidelines on what testing code to use.

ICD-10 - CM

    • U07.1 - 2019-nCoV Acute respiratory disease  

Continue to Stay Informed

Although much of the news isn’t specific to revenue cycle-related roles or job functions, it’s important that we all stay up to date by following reliable news outlets, and our local and state health department websites.

The AMA, CDC and AHA have also published useful resource centers for monitoring daily updates and the latest related news that you can access from the links below.

American Medical Association's COVID-19 Resource Center

Centers for Disease Control and Prevention

American Hospital Association - Updates & Resources


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