Reimbursement Overview - June 2020
Pricing
The MSRP is $45 per test(sold 20 tests per box)
To Order, Contact Us
Medical Supplies Marketplace, Inc. is an authorized distributor of Premier Biotech. For sales, please contact sales@medicalsuppliesmarketplace.com
Deborah Thomas, CEO, Medical Supplies Marketplace, Inc.
Email: Debbie@medicalsuppliesmarketplace.com
Text or Call: 1 (774) 313-0285
American Medical Association (AMA) Special coding advice during COVID-19 public health emergency
Updated May 2020
CPT Codes & Reimbursement
The AMA Current Procedural Terminology (CPT®) Editorial Panel has adopted two new codes to report when patients receive blood tests that detect COVID-19 antibodies. The CPT codes are now effective and can be used.
- 86328: Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (e.g., reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]).
- 86769: Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]).
For complete coding and reimbursement information, please visit https://www.ama-assn.org/practice-management/cpt/sars-cov-2-antibody-tests-learn-essentials-new-cpt-codes
Medicare Part B (Medical Insurance) covers a COVID-19 antibody (or "serology") test.
For details, please visit https://www.medicare.gov/coverage/coronavirus-disease-2019-covid-19-antibody-test
CMS Releases Medicare Payment Rates for COVID-19 Antibody Test CPT Codes
Medicare payment rates for CPT codes 87635, 86769, and 86328 range from $42.13 to $51.31. For more information, please visit https://www.cms.gov/files/document/mac-covid-19-test-pricing.pdf