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COVID-19 Testing

Apurva Posted Fri 01st of May, 2020 09:01:00 AM
Need confirmation whether can we bill COVID-19 tests for 2 consecutive days irrespective of the results obtained.
SuperCoder Answered Mon 04th of May, 2020 12:00:28 PM

Hi Apurva,

Thank you for your question.

In the “Interim Guidelines” There are no known restrictions on the reporting COVID-19 tests for 2 consecutive days irrespective of the results obtained. We can report and accurately describe the service.

 

NOTE:

Also, If a laboratory is requested to test multiple separate specimens for the same virus, on the same patient, on the same day.

Report code 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, and a second unit of code 87635, appended with modifier 59, Distinct Procedural Service. Per CPT reporting guidelines for microbiology codes, when separate assays are performed on multiple specimens, modifier 59 should be used to indicate that the results represent the separate services performed.

Hope it helps.

Apurva Posted Tue 05th of May, 2020 07:11:43 AM
Thanks for the help also need confirmation if Respiratory panel can be performed with COVID-19 for 2 consecutive days irrespective of the results obtained. Is there any frequency limitations on the RPP panel.
SuperCoder Answered Wed 06th of May, 2020 05:09:14 AM

Hi Apurva,

As per CCI edit there is no bundling between respiratory panel codes and covid-19 test codes. As of know they can be billed together.

The frequency limit for the RPP code limit is once per day.

NOTE:

All other provided services should be reported as appropriate according to CPT coding guidelines, regardless if they are performed on the same day as the SARS-CoV-2 test. Note that the new codes describe laboratory tests, and therefore, guidelines regarding the appropriate reporting of laboratory tests apply.

 

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