CPT^® 86769, Under Qualitative or Semiquantitative Immunoassays

The Current Procedural Terminology (CPT^®) code 86769 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 multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease 2019 (COVID–19).

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Forum

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Question: Screening Labs

Hi Rhonda? This screening depends on what lab test is being done and reason from provider. . DX Z00 is more of physical. I'd be detailed if I were you 2. Let me give you some examples but it depends o... [ Read More ]

Medicare denial for code 86769 clia cpt 86769 medicare denials

I have received a denial from Medicare on CPT code 86769. Medicare rep states that; "the denial is due to our CLIA and the CLIA people are telling us that our CLIA allows us to bill the antibody tests... [ Read More ]

COVID-19 Rapid Test Done in Office

We use 86769 for the Rapid test( IGg and IGM) . I'm not sure what comprises your rapid test....... You can check with the lab if you don't know.... [ Read More ]

Antibody Testing

What ICD-10 code would be used when coding [I][COLOR=rgb(40, 50, 78)][B]CPT 86769 Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])[/B][/COLOR][/I... [ Read More ]

COVID Rapid Test CPT Code

86769 for IGG and Igm . Only one unit is paid however, not 2x 86769, but you can try getting the two paid.... [ Read More ]

New procedure code for COVID-19 POC Rapid test?

[QUOTE="lcolborn, post: 481045, member: 149601"] If you are talking about the Rapid Test in the clinic with IgG and IgM, I use 86769 . [/QUOTE] No, not the antibody test. Would it be this one? [I]8... [ Read More ]

New procedure code for COVID-19 POC Rapid test?

If you are talking about the Rapid Test in the clinic with IgG and IgM, I use 86769 .... [ Read More ]

BCBS not paying 86769 antibody testing

We have recently had an issue with BCBS not paying for antibody testing 86769, 86769-59 Z11.59 dx code. Has anyone else had these issues with BCBS. I cannot get anyone on the phone to explaine to me... [ Read More ]

86769 Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV)

[QUOTE="brepola, post: 473283, member: 176323"] has anyone had any success with BCBS? I'm surprised they are the lowest reimbursement for all payers we see. They are paying $12.48 for the 86769 where... [ 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 ]

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