Alerts

COVID-19 Testing Procedure Codes

2/16/2021

PDF Version  

 

TO:  Physicians, FQHCs, RHCs, Independent Labs, Hospitals, and ADPH

 

RE:  COVID-19 Testing Procedure Codes


As Alabama Medicaid continues to monitor the COVID-19 national emergency in Alabama, Medicaid is adding the following procedure codes for coverage:

 

CPT
CODE

SUMMARY

Effective date

86408 COVID neutralizing antibody screen

08/10/2020

86409 COVID neutralizing antibody titer

08/10/2020

86413 COVID Antibody quantitative

09/08/2020

87636 Multiplex testing for either COVID with Influenza A&B, code

10/06/2020

87637 Multiplex testing for either COVID with Influenza A&B and RSV

10/06/2020

87811 Antigen detection of COVID by direct optical observation

10/06/2020

87428 Multiplex viral pathogen panel using antigen immunoassay technique for along with influenza A and influenza B

11/10/2020

U0005 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome, amplified probe technique

01/01/2021

 

Providers may submit claims for dates of service on or after the effective dates for each procedure code as listed above.

 

Providers may find the reimbursement rates for the COVID-19 testing procedure codes on Medicaid’s website at www.Medicaid.Alabama.gov by selecting Fee Schedules under the Providers tab.

 

As a reminder, providers must deliver services within their scope of practice and have the proper certification and licensure to perform these tests. 

 

During the COVID-19 emergency, it is important to file claims as quickly as possible to ensure payment from Medicaid to Medicaid providers close to the date of service. The Centers for Medicare and Medicaid Services (CMS) has increased the federal matching percentage for the emergency time frame, but states can only receive the increased match on claims paid during the emergency. Providers should include appropriate COVID-19 diagnosis code(s) on claims submitted to help with tracking of COVID-19.

 

For questions, please visit the Medicaid website at www.Medicaid.Alabama.gov, or call the Medicaid Fiscal Agent at 1-800-688-7989.

Contacts: susan.watkins@medicaid.alabama.gov,
solomon.williams@medicaid.alabama.gov, or
elizabeth.huckabee@medicaid.alabama.gov




The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2021 American Medical Association and © 2021 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.