• On May 19, 2020, the Centers for Medicare and Medicaid (CMS) published the payment rates for the new Covid-19 antibody testing codes.  Please see below.
  • On March 13, 2020, the American Medical Association (AMA) created CPT code 87635 for infectious agent detection by nucleic acid tests.
  • On April 10, 2020, the AMA created CPT codes 86769 and 86328 for serology tests.  Laboratories and qualified physician practices performing these tests may bill Medicare for services that occurred after their respective effective dates.

Local Medicare Administrative Contractors (MACs) are responsible for developing the payment amount for claims they receive for these newly created HCPCS codes in their respective jurisdictions until Medicare establishes national payment rates. The payment amounts are identified below.  As with other laboratory tests, there is generally no beneficiary cost-sharing under Original Medicare.

Covid-19 antibody testing payment amounts are identified below.

Covid-19 Antibody Testing Amounts

 

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PRM is here to help make life easier for you and your office staff. Join our medical billing company today and enjoy our benefits! Contact Us

Lanny Menendez
Professional Reimbursement Managers
www.prmbilling.com