Additional Coronavirus Testing Code Announced

March 17th, 2020 - Wyn Staheli, Director of Research
Categories:   CPT® Coding  
0 Votes - Sign in to vote or comment.

On March 13, 2020, a new CPT code was announced by the American Medical Association (AMA) who maintains the CPT code set. This early release of a CPT code is rare and is effective immediately. According to the press release, “The new CPT code assigned to the test for the novel coronavirus provides analytical advantages for tracking, allocating and optimizing resources as testing ramps up in the United States.” (See References below)

The following new code has been added to Find-A-Code with an effective date of March 13, 2020:

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

Note: Due to this type of release, not all EHR systems or payers may have added this code.

What makes this interesting is that back in February (see References below), CMS announced that there was a new HCPCS code (U0001) which was to be used for reporting testing. Then on March 5, 2020, they announced another code (U0002). Both codes will be effective for reporting as of April 1, 2020. It is unknown at this time if CMS will want both the HCPCS and/or the CPT code to report. Watch for further announcements.

As for reporting the diagnosis, at the time of this article the current official guidelines announced February 20, 2020 have not changed. CLICK HERE to read about those guidelines. Sometime during the next two days, they will be discussing the addition of a new ICD-10-CM code. We will monitor this situation and make an announcement when we know more.

For detailed coding guidelines see "Understand the New Codes for Testing & Reporting the COVID-19 Coronavirus (SARS-CoV-2)"

###

Questions, comments?

If you have questions or comments about this article please contact us.  Comments that provide additional related information may be added here by our Editors.


Latest articles:  (any category)

COVID-19 Chiropractic Resources
March 31st, 2020 - Wyn Staheli, Director of Research
COVID-19 Chiropractic Resources contains current, updated information regarding COVID-19. Included are lists of webinars, articles, websites and links pertaining to the ongoing changes.
CMS-Coverage for Therapeutic Shoes for Individuals with Diabetes
March 31st, 2020 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Therapeutic shoes and inserts can play a vital role in a diabetic patient's health. Medicare may cover one pair every year and three pairs of custom inserts each calendar year if the patient qualifies and everything is handled correctly.  Medicare Benefit Policy Manual explains what is needed for a person with diabetes to ...
Providing Telehealth Services During COVID-19 Crisis
March 30th, 2020 - Wyn Staheli, Director of Research
The rules for providing telehealth services during this pandemic have changed and some requirements have been waived. Please keep in mind that “waiving requirements” does not mean that anything goes. Another important consideration is that Medicare and private payers may likely have different rules so you need to make sure that you know individual payer requirements during this time.
Spotlight: UCR Fees are Available on DRGs- Check it Out!
March 30th, 2020 - Brittney Murdock, QCC, CMCS, CPC
Check out the information page on any DRG! Look up DRGs by going to the list of DRG codes found under the Codes tab at the top of the page, or simply type in the desired DRG by using the search bar on the homepage. When using the search bar, be sure you have the ...
Interprofessional Consult Services
March 27th, 2020 - Namas
The recent coronavirus crisis has brought non-face-to-face services to the forefront of coding and billing conversations. With the entire healthcare industry focused on caring for patients during an unprecedented and fast-moving pandemic, the goal of increasing patient access while reducing the risk of spreading infection has become paramount. In this climate, ...
2020 Medicare Part D Coverage Gap (AKA donut hole)
March 26th, 2020 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Not every Medicare drug plan has complete coverage for prescription drugs - most have some sort of coverage gap, known as the “Donut Hole”. The coverage gap is a temporary limit on coverage under the drug plan. This coverage gap will not affect everyone and begins after you have used ...
LATEST COVID-19 INFORMATION FOR BILLING NON-FACE-TO-FACE SERVICES
March 26th, 2020 - Namas
Healthcare providers and the population at large are concerned about safe access to care considering the COVID-19 pandemic. As a result, we have received many inquiries this week about how to bill for “telehealth” services. Let’s first address that true telehealth services have some pretty stringent requirements from CMS, including that ...



About Codapedia by innoviHealth® Contact Us Terms of Use Privacy Policy Advertise with Us

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2020 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association