2024 Laboratory Fee Schedule
Fee schedules do not reflect 2% Payment Adjustment (Sequestration).
Click here for more information.
Please select your state/locality before continuing:
|
Respiratory Health Test
Visby Medical Respiratory Health Test-Emergency Use Authorization
| CPT Code |
CPT Code Description |
Medicare Coverage |
NATIONAL LIMIT
Medicare
Reimbursement |
NATIONAL LIMIT
Medicaid
Reimbursement |
| 87636-QW* |
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique |
CCI
MUE
|
$142.63 |
N/A
|
*QW should only be used when running this test in a CLIA Waived setting.
STI CT/NG/TV (If all tests are ordered and performed)
| CPT Code |
CPT Code Description |
Medicare Coverage |
NATIONAL LIMIT
Medicare
Reimbursement |
NATIONAL LIMIT
Medicaid
Reimbursement |
| 87801-QW* |
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique |
CCI
MUE
|
$ 70.20 |
N/A
|
*QW should only be used when running this test in a CLIA Waived setting.
STI CT/NG/TV (If a single test is ordered and performed)
| CPT Code |
CPT Code Description |
Medicare Coverage |
NATIONAL LIMIT
Medicare
Reimbursement |
NATIONAL LIMIT
Medicaid
Reimbursement |
| 87491 |
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique |
CCI
MUE
NCD
|
$ 35.09 |
N/A
|
| 87591 |
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique |
CCI
MUE
NCD
|
$ 35.09 |
N/A
|
| 87661 |
Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique |
CCI
MUE
|
$ 35.09 |
N/A
|
The information contained in this website has been compiled by CodeMap, L.L.C. who remains solely responsible for its content.
The information provided is for general educational purposes only and may not be conclusive or exhaustive.
Recent changes in applicable law, regulations and interpretations may not be reflected in the information contained herein.
For technical questions, please contact CodeMap at (847) 381-5465.
This website is a private website and is not associated, endorsed or authorized by the Department of Health and Human Services, the Center for Medicare and Medicaid Services or any other public or government organization or agency.
CPT copyright 2023 American Medical Association. All rights reserved.
|
