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Molecular tests diagnose COVID-19 based on detection of the virus's genetic material in a sample from the patient's nose or throat. Back. To avoid delays by turnaround time when requesting multiple tests up frozen samples, please submit separate frozen specimens to each test . 20:iA ?9 (MLN Matters MM11765). Check the NCCI edits. Effective 2/27/2021. For use by hospital outpatient departments and physician offices: Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) any specimen source G2023. Hi Mary You should be able to follow your usual process for reporting handling and the outside lab test billed to the facility, but checking with your compliance team is a good idea. Although CMS does not address it, if a specimen is collected on the day of an office visit, there wont be separate payment for 99211. The MLN Connects post specifies that the codes are effective with line item date of service on or after March 1, 2020. Watch for CMS to issue additional guidance once the PHE is over and when the codes are no longer valid for reporting. COVID-19 | AAFP - American Academy of Family Physicians However, if the specimen is collected during a routine office visit, it would not be separately payable. that requires CPT codes, then code 87635 should be Updated to include COVID-19 CPT code 87635 and . The CPT codes will be included in the complete CPT code set in the data file for 2021, which will be available later this year. (https://www.cms.gov/files/document/covid-19-laboratories.pdf). In an interim final rule related to COVID-19 policy and regulatory revisions, the Centers for Medicare & Medicaid Services (CMS) explains that tests that allow patients to collect the specimen would not be eligible for the specimen collection fee. 2021). A specimen that is not collected correctly may lead to false or inconclusive test results. For example, if a nurse administers the collection of the sample, there is no separate Medicare payment for that specimen collection. Specimen Collection For Covid-19 - CodingIntel %%EOF For CHHA use only. The AMA has more information about the new codes here. CMS has also established HCPCS codes for other COVID-19 tests. No. PDF Covid-19 Testing, Treatment & Vaccine Coding CPT/HCPCS Codes: 86328, 86408, 86409, 86413, . . Can we bill for example a 99213 for the virtual visit plus the 99211 for the collection? Question: Should CPT code 87635, a HCPCS Level II performed? code, or both be reported if the test for COVID-19 is These codes should only be used when the provider or facility is NOT running the test. Viral transport medium acceptable for collection of influenza specimens in 1 mL or 3 mL volumes can be used to transport swabs for COVID-19 testing. 2023 MO HealthNet Provider Hot Tips - Missouri Use CPT 99211 to bill for a COVID-19 symptom and exposure assessment and specimen collection provided by clinical staff incident-to the supervising physicians or NPPs services. More information on testing codes is available here. Thanks, So i see alot of medicare denials with 99203, 99214 with mod CS and a z code for the dx why is that ? The BioFire Respiratory Panel 2.1 (RP2.1) is a multiplexed nucleic acid test intended for the simultaneous qualitative detection and differentiation of nucleic acids from multiple viral and .