COVID-19 Antibody Billing Guidance

Please note that antibody testing is appropriate as a diagnostic test in limited circumstances and will not be a benefitable service when conducted for return to work or surveillance purposes.

Asymptomatic and pre-surgical COVID-19 diagnostic testing is covered when medically appropriate and supported by the accepted standards of current medical practice.

As you may know, the Families First Coronavirus Response Act (the FFCRA) and the Coronavirus Aid, Relief, and Economic Security Act (the CARES Act) require health plans to cover diagnostic testing of COVID-19. Coverage must be provided without any cost-share, prior authorization, or medical management requirements.

COVID-19 – Billing Guidance

Please click here to see a table to help understand which billing codes are appropriate for COVID-19 testing and how to bill for these services.

BCBSWY COVID-19 Response

You can find additional information about BCBSWY’s COVID-19 response at BCBSWY.com/providers/updates or in the Availity.com BCBSWY Payer Space—including the following:

Stay Informed!

  • Get email updates! Ask to be added to receive Provider Updates at provider.relations@bcbswy.com 

 

For more information see: CDC COVID-19 or State of Wyoming COVID-19

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