ET), 99000: Handling and/or conveyance of specimen for transfer from office to a laboratory, 2023 Annual Clinical & Scientific Meeting, Congressional Leadership Conference (CLC), ICD-10-CM Official Coding and Reporting Guidelines, AMA Quick reference flow chart for CPT reporting for COVID-19 testing, AMA Fact Sheet: Reporting Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) Laboratory Testing, Managing Patients Remotely: Billing for Digital and Telehealth Services, Alliance for Innovation on Maternal Health, Postpartum Contraceptive Access Initiative, Obstetric patients with confirmed COVID-19 during pregnancy, childbirth or the puerperium should have, If COVID-19 is not confirmed or if testing is negative, the following, J20.8: Acute bronchitis due to other specified organisms, J22: Unspecified acute lower respiratory infection, J40: Bronchitis, nor specified as acute or chronic, J96.01: Acute respiratory failure with hypoxia, J98.8: Other specified respiratory disorders, 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]), 86769: Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), 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. The emergency use of this test is authorized for the duration of the declaration that circumstances exist justifying the authorization of emergency use of in vitro diagnostic tests for detection and/or diagnosis of COVID-19 under Section 564(b)(1) of the Act, 21 U.S.C. Explore top articles, videos, research highlights and more from the AMAyour source for clear, evidence-based news and guidance during the pandemic. Recently published CDC guidelines on specimen collection for initial diagnostic testing recommend obtaining swabs from multiple pharyngeal sites, which may require conducting more than one test on the sameday for a patient. Whats the news: The AMA Current Procedural Terminology (CPT) Editorial Panel has adopted a new CPT code to report antigen testing of patients suspected of SARS-CoV-2 infection. Please verify your tests waived status and CPT code prior to implementing testing. This is a simple blood test that detects specific proteins on the surface of the COVID virus, and usually determines if an individual has . The AMA Update covers a range of health care topics affecting the lives of physicians and patients. All comments are moderated and will be removed if they violate our Terms of Use. Changes to the CPT code set are considered through an open editorial process managed by . Visit our online community or participate in medical education webinars. The Food and Drug Administration says in a May 9 statement that antigen tests are less costly to produce than polymerase chain reaction (PCR) tests and are highly accurate. There is a higher chance of false negatives, however, so negative results from an antigen test may need to be confirmed with a polymerase chain reaction (PCR) test. Question Different cpt codes for covid PCR vs Rapid - AAPC The CPT guidelines for this new code provide the necessary flexibility to report this scenario, and accurately reflect the services performed. Yes, no RVUs. Kent Moore, Senior Strategist for Physician Payment at the American Academy of Family Physicians.

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