CPT^® 87637, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87637 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 the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV) using a multiplex amplified nucleic acid probe technique.

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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 ]

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 ]

Rapid COVID Nasal Swab

Hi, The October CPT Assistant lists 87635, 87636, and 87637 and there are also PLA codes for COVID testing, which is explained in the CPT Assistant. It depends on what is being tested and the techniq... [ Read More ]

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