CPT^® 86328, Under Qualitative or Semiquantitative Immunoassays

The Current Procedural Terminology (CPT^®) code 86328 as maintained by American Medical Association, is a medical procedural code under the range - Qualitative or Semiquantitative Immunoassays.

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Summary

The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) virus, which causes the coronavirus disease first identified in 2019 (COVID–19).

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Labs performed at office

Hi, What documentation requirements are need in order to bill for labs in office? It seems like an odd question but we're finding that we usually only have results not how the specimen was obtain (CP... [ Read More ]

Documentation Requirement 87426

Hi, What documentation requirements are needed for CPT 87426 and 86328? Currently our provider is documenting rapid COVID test negative. Thank you for your assistance.... [ Read More ]

Medicare denying of 86328

Can anyone tell me how to properly code the covid antibody test? 86328. Medicare started denying our claims for 86328 due to clia level. We currently bill it 86328 then 36415. With no modifiers on i... [ Read More ]

COVID-19 Antibody Testing

I work with a substance abuse facility that has a CLIA waiver. We recently had an individual reach out to us about a new COVID-19 antibody test that gives results in 15 minutes. I am wondering if any ... [ Read More ]

Modifier CS

Looks like the answer is, as usual, depends: [URL unfurl="true"]https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2020-04-10-mlnc-se[/URL] "[SIZE... [ Read More ]

Covid Antibody Testing

Good afternoon I was looking for some help. My office is doing the COVID antibody testing CPT 86328 and I was able to get reimbursement information for Medicare however if the patient is not Medicare... [ Read More ]

Child Code

[QUOTE="thomas7331, post: 475432, member: 5404"] I believe they are referring to the fact that in CPT code 86328 is indented underneath 86318. 86318 is the 'parent' or stand-alone code and 86328 refe... [ Read More ]

Child Code

I believe they are referring to the fact that in CPT code 86328 is indented underneath 86318. 86318 is the 'parent' or stand-alone code and 86328 refers back to the common portion of the parent code... [ Read More ]

Child Code

Can anyone explain what does a "child code" mean in this situation? [B]Code[/B] 86328 was established as a [B]child code[/B] to [B]86318[/B] to report a qualitative or semiquantitative single-step ... [ Read More ]

COVID-19 Testing?

[QUOTE="runninghonu@yahoo.com, post: 473346, member: 228939"] 86328 is a finger prick test - I talked to the manufacturer and found that it is not clia waived [URL]https://aytubio.com/covid-19/[/URL] ... [ Read More ]

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