CPT^® 87426, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87426 as maintained by American Medical Association, is a medical procedural code under the range - Infectious Agent Antigen Detection.

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Summary

The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2, which causes coronavirus disease 2019 (COVID–19).

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Forum

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BCBS, Screening PSA (G0103) denials

[QUOTE="TThivierge, post: 505360, member: 216725"] Hi There, I do a lot of lab coding. The PSA lab test needs to linked first with a definitive dx code such as N42.9, Disorders of the Prostate, or d... [ Read More ]

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 ]

Covid 19 coding

Can a 'drive through' covid testing site bill for the lab test (they are an Urgent Care Facility (87426 or 87428)) and then bill for a telemedicine visit with clinic staff later that same day that inc... [ Read More ]

COVID testing codes

[QUOTE="ssevans78, post: 506803, member: 279225"] I need help for coding for rapid covid in office test without a machine, our tests are just the cassettes that we ready. Then we have the rapid covid ... [ Read More ]

87426 Vs. 87811

87426 is read via machine (example BD Veritor), 87811 is read with your eyes (example Abbott BinaxNOW).... [ Read More ]

COVID TEST MODIFIER QUESTION

[QUOTE="gchmelewski, post: 506619, member: 402277"] HI, you would bill for the labs that you are doing in office and not bill for the ones you are sending off. 87426 does need qw and you should appe... [ Read More ]

COVID TEST MODIFIER QUESTION

HI, you would bill for the labs that you are doing in office and not bill for the ones you are sending off. 87426 does need qw and you should append your clia # to the code. we do not have qw on 87... [ Read More ]

COVID TEST MODIFIER QUESTION

We are having some trouble finding the right way to be coding for covid tests out of our doctor’s office. Do codes 87426 & 87635 need a QW modifier? 87635 is done in office but is being sent to a ... [ 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 ]

87426 Vs. 87811

Could any one help me to understand the difference Covid -19 test b/w 87426 and 87811... [ Read More ]

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