0241U

CPT^® 0241U, Under Proprietary Laboratory Analyses

The Current Procedural Terminology (CPT^®) code 0241U as maintained by American Medical Association, is a medical procedural code under the range - Proprietary Laboratory Analyses.

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Summary

This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0241U for the Xpert® Xpress SARS–CoV–2/Flu/RSV (all targets) from Cepheid. The test provides rapid detection and differentiation of SARS–CoV–2 (the virus that causes COVID–19), influenza A and B viruses, and respiratory syncytial virus (RSV).

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Have a question about CPT Code 0241U ? Start a discussion here

Covid Testing

Hello, You should be getting reimbursed for both. When are you "following up" with 0241u? Are they back to back tests on the same DOS and you're billing on the same bill? Or are you truly following up... [ Read More ]

Covid Testing

Our providers sometimes do an antigen test and follow up with a PCR test if they suspect the antigen to be false. Has anyone else done this using 87428 and 0241U? If so, are you being reimbursed for b... [ Read More ]

Proprietary Laboratory Analysis (PLA) Codes

[QUOTE="hqureshi, post: 503973, member: 754578"] I am still confused can an emergency department bill PLA codes for the test performed. E.g we have two codes for Xpert® Xpress SARS CoV-2/Flu/RSV (SAR... [ Read More ]

Usage of PLA codes in EMERGENCY DEPARTMENT

I am confused can an emergency department bill PLA codes for the test performed?We have two codes for Xpert® Xpress SARS CoV-2/Flu/RSV (SARS[1]CoV-2 & Flu targets only), Cepheid..One is from 8000 se... [ Read More ]

Proprietary Laboratory Analysis (PLA) Codes

I am still confused can an emergency department bill PLA codes for the test performed. E.g we have two codes for Xpert® Xpress SARS CoV-2/Flu/RSV (SARS[1]CoV-2 & Flu targets only), Cepheid..One is fr... [ Read More ]

0241U Denials help

I am seeing denials for 0241U being denied for DOS. This code became effective October 6, 2020. Why is insurance still denying? Please help.... [ Read More ]

Downgrade policy for respiratory panel 0202U covid testing

I am not able to find downgrade policy for respiratory panel 0202U. This code is denied by some insurances as not covered under the contract. But the other panel 0241U is covered. 0241U includes al... [ Read More ]

PLA vs CPT

Does anyone have any guidance on billing PLA vs CPT codes? I ask in general, but specifically we're trying to sort out whether we should be billing 87637 or 0241U for our COVID/RSV/Flu A&B in-house te... [ Read More ]

0241U and Billing Units

Hoping someone could help with the following question as I could not specifically find something in writing on how to bill. Code 0241U is for the new Cepheid-Xpress test: [B]0241U[/B] [I]Infectious d... [ Read More ]

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