Good afternoon,
Cigna is denying CPT code 86328 (SARS-CoV-2 antibody test) due to “DX not covered.” So far, I’ve seen denials for the following diagnosis codes:
I’ve reviewed Cigna’s MUE and coverage guidelines, and from what I can gather, they appear to only accept M35.81 – Multisystem inflammatory syndrome and U09.9 – Post COVID-19 condition, unspecified, as valid diagnoses for 86328.
Can you confirm whether these are currently the only covered DX codes for this CPT?
Cigna is denying CPT code 86328 (SARS-CoV-2 antibody test) due to “DX not covered.” So far, I’ve seen denials for the following diagnosis codes:
- R05.9 – Cough
- J01.81 – Other acute recurrent sinusitis
- J06.9 – Acute upper respiratory infection, unspecified
I’ve reviewed Cigna’s MUE and coverage guidelines, and from what I can gather, they appear to only accept M35.81 – Multisystem inflammatory syndrome and U09.9 – Post COVID-19 condition, unspecified, as valid diagnoses for 86328.
Can you confirm whether these are currently the only covered DX codes for this CPT?