2026 Medicare Reimbursement Information


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CT/NG

Product Name
Procedure Code
Procedure Description
National
Medicare
Reimbursement1
National
Medicaid
Reimbursement
CT/NG Combo Test
87494 - QW*
 
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique
$70.18
N/A

*Use modifier QW to indicate a CLIA waived laboratory test.

LOINC
21613-5 Chlamydia trachomatis DNA [Presence] in Specimen by NAA with probe detection
6357-8 Chlamydia trachomatis DNA [Presence] in Urine by NAA with probe detection
21190-4 Chlamydia trachomatis DNA [Presence] in Cervix by NAA with probe detection
45084-1 Chlamydia trachomatis DNA [Presence] in Vaginal fluid by NAA with probe detection
88221-7 Chlamydia trachomatis DNA [Presence] in Throat by NAA with probe detection
45090-8 Chlamydia trachomatis DNA [Presence] in Anal by NAA with probe detection
24111-7 Neisseria gonorrhoeae DNA [Presence] in Specimen by NAA with probe detection
21416-3 Neisseria gonorrhoeae DNA [Presence] in Urine by NAA with probe detection
96599-6 Neisseria gonorrhoeae DNA [Presence] in Cervix by NAA with probe detection
32705-6 Neisseria gonorrhoeae DNA [Presence] in Vaginal fluid by NAA with probe detection
88225-8 Neisseria gonorrhoeae DNA [Presence] in Throat by NAA with probe detection
88224-1 Neisseria gonorrhoeae DNA [Presence] in Anorectal by NAA with probe detection


SNOMED CT
63938009 Chlamydia trachomatis
68704007 Neisseria gonorrhoeae


1Medicare Reimbursement Amount does not reflect 2% Sequestration adjustment. Click here for more information.

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