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finger stick 10 minute blood test for Covid 19 detection

Marlene Posted Wed 22nd of April, 2020 14:57:07 PM
I need to see if there is a CPT for the rapid 10 minute finger stick test being done from Bioamerica corp.I cannot find one This is not a swab test but a blood test being done in office Thanks
SuperCoder Answered Thu 23rd of April, 2020 06:36:03 AM

Thank you for your Question!

 

CPT® code 86328 {Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])} released by AMA for reporting typically whole blood or serum specimen testing for antibodies to SARS–CoV–2. The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the SARS–CoV–2 virus. The test may use methods such as chromatographic immunoassay that produces a color change when antibodies in whole blood migrate through a reagent test strip containing specific antigens, such as an IgG/IgM reagent strip. For immunoassays by single-step method (eg, reagent strips), CPT codes 86318 or 86328 may be reported. For severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] [Coronavirus disease {COVID-19}] antibody testing using the multiple-step method, use 86769.

 

Hope that Helps!

Marlene Posted Thu 23rd of April, 2020 07:32:09 AM
can this be done in a physicians office as Im reading it can only be done in a certified lab I have docs that want to do this in house and provide this and can get the test but I see where some say it can only be done in a certified lab
SuperCoder Answered Fri 24th of April, 2020 10:08:31 AM

Thank you for the query.

 

Diagnostic testing available to Medicare beneficiaries who need it, in the interim final rule with comment period, the Medicare has changed payment rules during the PHE for the COVID-19 pandemic to provide payment to independent laboratories for specimen collection from beneficiaries who are homebound or inpatients not in a hospital for COVID19 testing under certain circumstances.

In general, a nominal fee for specimen collection for laboratory testing and a fee to cover transportation and personnel expenses (generally referred to as a travel allowance) for trained personnel to collect specimens from homebound patients and inpatients (not in a hospital).

These testing after collection of specimens available particularly at the point of care including “temporary screening facilities, physician office labs, urgent care, and long-term nursing facilities.

   

COVID-19 tests that allow patients to collect the specimen themselves are not eligible for this specimen collection fee. These codes are only billable by clinical diagnostic laboratories, according to a special March 31, 2020 edition of MLN Connects®.

Information related to COVID-19 is changing rapidly. This information was accurate at the time of answering. Be sure to stay tuned for the most up-to-date information.

 

https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf

https://www.cms.gov/files/document/mln-connects-special-edition-3-31-2020.pdf

 

Hope this Helps!

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