COVID-19 Diagnostic Test
|
CDC 2019 Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel |
U0001 |
CDC, State Lab |
YES |
YES |
2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC |
U0002 |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
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, making
use of high throughput technologies |
U0003 |
Laboratories only |
YES |
YES |
2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple
types or subtypes (includes all targets), non-CDC, making use of high throughput technologies |
U0004 |
Laboratories only |
YES |
YES |
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, CDC Or Non-CDC, Making Use Of High Throughput Technologies, Completed Within 2 Calendar Days From Date Of Specimen Collection (List Separately In Addition To Either HCPCS Code U0003 Or U0004) |
U0005 |
Laboratories only |
YES |
YES |
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 |
87635 |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Severe acute respiratory syndrome coronavirus 2
(SARS-CoV-2) (Coronavirus disease [COVID-19])
and influenza virus types A and B, multiplex
amplified probe technique |
87636 |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Severe acute respiratory syndrome coronavirus 2
(SARS-CoV-2) (Coronavirus disease [COVID-19]),
influenza virus types A and B, and respiratory
syncytial virus, multiplex amplified probe technique |
87637 |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Infectious agent antigen detection by immunoassay
technique, qualitative or semiquantitative, multiple-step method; severe acute respiratory syndrome coronavirus (eg,
SARS-CoV, SARS-CoV-2 [COVID-19]) |
87426 |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) |
87811 |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Rapid COVID-19 Diagnostic Test
|
2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC |
U0002-QW |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
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 |
87635-QW |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Proprietary Lab Codes
|
Infectious disease (bacterial or viral respiratory
tract infection), pathogen-specific nucleic acid
(DNA or RNA), 22 targets including severe
acute respiratory syndrome coronavirus 2
(SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported
as detected or not detected
BioFire® Respiratory Panel 2.1 (RP2.1), BioFire® Diagnostics, BioFire® Diagnostics, LLC
BioFire® Respiratory Panel 2.1- EZ (RP2.1-EZ), BioFire® Diagnostics, BioFire® Diagnostics, LLC |
0202U
0202U-QW
|
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected
QIAstat-Dx Respiratory SARS CoV-2 Panel, QIAGEN Sciences, QIAGEN GmbH |
0223U |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), includes titer(s), when performed
COVID-19 Antibody Test, Mt Sinai, Mount Sinai Laboratory |
0224U |
Physician Offices, Urgent Care, Labs, Hospitals |
Not covered unless the test is medically appropriate for diagnostic purposes based on an individual assessment |
Not covered unless the test is medically appropriate for diagnostic purposes based on an individual assessment |
Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets, including severe acute respiratory syndrome coronavirus 2 (SARSCoV-2), amplified probe technique, including multiplex reverse transcription for RNA targets, each analyte reported as detected or not detected
ePlex® Respiratory Pathogen Panel 2, GenMark Dx, GenMark Diagnostics, Inc |
0225U |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Surrogate viral neutralization test (sVNT), severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), ELISA, plasma, serum
Tru-Immune™, Ethos Laboratories, GenScript® USA Inc |
0226U |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 3 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B), upper respiratory specimen, each pathogen reported as detected or not detected
Xpert® Xpress SARSCoV-2/Flu/RSV (SARS-CoV-2 & Flu targets only), Cepheid |
0240U |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected
Xpert® Xpress SARSCoV-2/Flu/RSV (all targets), Cepheid |
0241U |
Physician Offices, Urgent Care, Labs, Hospitals |
YES |
YES |
Specimen Collection
|
Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), any specimen source |
G2023 |
Laboratories only |
YES |
YES |
– Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), from an individual in a skilled nursing facility or by a laboratory on behalf of a home health agency, any specimen source |
G2024 |
Skilled Nursing
Lab on behalf of a Home Health Agency |
YES |
YES |
Hospital Outpatient clinic visit specimen collection for severe acute respiratory syndrome Coronavirus 2 (SARS-COV-2) (Coronavirus disease[COVID-19]), any specimen source |
C9803 |
Hospital Outpatient |
YES |
YES |
Handling and/or conveyance of specimen for transfer from the physician’s office to a laboratory |
99000 |
Physician Offices |
YES |
YES |
Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory |
99001 |
Mobile Unit
Walk-in Retail Health Clinic
Urgent Care
Emergency Room Hospital
Drive through testing |
YES |
YES |
Antibody Tests
|
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]) |
86328 |
Physician Offices, Urgent Care, Labs, Hospitals |
Not covered unless the test is medically appropriate for diagnostic purposes based on an individual assessment |
Not covered unless the test is medically appropriate for diagnostic purposes based on an individual assessment |
Neutralizing antibody, severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID19]); screen |
86408 |
Physician Offices, Urgent Care, Labs, Hospitals |
Not covered unless the test is medically appropriate for diagnostic purposes based on an individual assessment |
Not covered unless the test is medically appropriate for diagnostic purposes based on an individual assessment |
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID19]); screen titer
|
86409 |
Physician Offices, Urgent Care, Labs, Hospitals |
Not covered unless the test is medically appropriate for diagnostic purposes based on an individual assessment |
Not covered unless the test is medically appropriate for diagnostic purposes based on an individual assessment |
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) |
86769 |
Physician Offices, Urgent Care, Labs, Hospitals |
Not covered unless the test is medically appropriate for diagnostic purposes based on an individual assessment |
Not covered unless the test is medically appropriate for diagnostic purposes based on an individual assessment |