Medicare Payment Amounts for New COVID-19 Tests

Medicare Payment Amounts for New COVID-19 Tests. The Centers for Medicare & Medicaid Services (CMS) has established new codes for laboratory tests for the novel coronavirus (COVID-19). CMS provided pricing for codes U0001 and U0002, but instructed Medicare administrative contractors (MACs) to develop the allowance for the remaining codes.

Codes and Allowances: Medicare Payment Amounts for New COVID-19 Tests

The codes and allowances are as follows:

The following are the national average for the codes.  Your Medicare allowable might be slightly different.

    CODEALLOWANCE
    U001$35.92
    U002$51.31
    U003$100.00
    U004$100.00
    0202U$416.78
    0223U$416.78
    0224U$42.13

    CODEALLOWANCE
    0225U$416.78
    0226U$42.28
    86408$42.13
    86409$105.33
    86413$42.13
    87426$45.23
    87635$51.31

    For more information about Medicare Payment Amounts for New COVID-19 Tests visit www.cms.gov/

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