CPT^® 87428, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87428 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 specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2 (which causes COVID–19) and SARS–CoV, as well as influenza A and B to help distinguish common viral causes of respiratory illness.

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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 ]

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 ]

Billing Units

[QUOTE="shrineoftata@aol.com, post: 505382, member: 103620"] I have a question concerning CPT 87428 should this be 3units for this code ? Being as 87426 is 1 unit and 87804 is 2 units if billed sepe... [ Read More ]

Billing Units

I have a question concerning CPT 87428 should this be 3units for this code ? Being as 87426 is 1 unit and 87804 is 2 units if billed seperately... [ Read More ]

Different cpt codes for covid PCR vs Rapid

[QUOTE="susan.ellis, post: 505310, member: 141028"] If the Pt presents for a PCR test and you are ONLY performing the swab in the office/UC/ER but sending the swab to a lab you would code a level 1 or... [ Read More ]

Different cpt codes for covid PCR vs Rapid

[QUOTE="mgarcia400, post: 505182, member: 133599"] I work for a Family practice and we currently do PCR COVID swabs that are sent out to a lab. We use cpt 87635 for billing. We are currently trying t... [ Read More ]

87428

[QUOTE="lemorris, post: 488737, member: 12896"] I was wondering if 87428 was billed once for each test. The code is for Flu A+B and Covid but I found an article that stated "When separate results are ... [ Read More ]

87811 COVID 19 Rapid test

For the rapid test where we swab the nose, mix it with a liquid and then put it on a cartridge and a machine reads the results, we have been using 87426-QW. If it has the Flu A&B, I would use the code... [ Read More ]

covid testing with rapid influenza A and B

At our facility, we are using a BinaxNow that is capable of running both tests simultaneously; however, we are not utilizing this feature for "unspecified CLIA reasons" My understanding is that if yo... [ Read More ]

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