covid specimen collection cpt code 2021

Billing tips for COVID-19. In an earlier FAQ, CMS says to use HCPCS Level II code U0002 for COVID-19 test methods that are not specified by either HCPCS Level II U0001 or CPT 87635. Commercial payers make their own rules. For instance, you should not assume the codes apply only to nasal swabs. Current Procedural Terminology (CPT) codes for COVID-19 testing. Can a PCP bill for COVID 19 specimen collection during a pre-op visit? 2021 CMS finalized several supply price . The place of service code for FQHCs is 50. thank you for your response Renee , It was very helpful. If a patient is seen via a curbside/virtual visit at our urgent care clinic for possible Covid and the provider orders a covid collection to be obtained for send out. Can a PCP office bill for a Rapid Detection SARS CoV-2? Can we bill 36415 and G2023 on the same Date of Service? The new code and long descripter is "87426: Infectious agent antigen detection by immunoassay technique, (e.g., enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; severe acute respiratory syndrome coronavirus (e.g., SARS-CoV, SARS-CoV-2 [COVID-19]).". endstream endobj startxref I disagreed with that at the time. (Note: CPT Assistant is a paid subscription service. 490 0 obj <>stream Using it consistently will help practices be reliable in their determinations and provide support in payer audits. Blood sample collections are reported with CPT code 36415 (Collection of venous blood by venipuncture) or 36416 (Collection of capillary blood specimen, e.g., finger, heel, ear stick). These fees are billable if the specimen is collected by trained lab personnel from a homebound or non-hospital inpatient. Can you bill the 87635 for lab test that will be sent out, and will be billed to our facility and then bill for specimen collection G2023 and also bill for Specimen handling charge 99001? You will need to check their individual policies. What 2 codes would she sent for these? This is not a substitute for current CPT and ICD-9 manuals and payer policies. summary of CPT codes most relevant to the specialty. Proper specimen collection is the most important step in the laboratory diagnosis of infectious diseases. Ship frozen (preferred). If an E&M service is not provided, 99001 can be used for pop-up labs or specimen collection Reasonable coders and practitioners can and do disagree about when a separate E/M service is warranted on the day of a minor procedure. do not constitute an exhaustive list of all state and federal regulatory requirements applicable to a drive-through COVID-19 specimen . The COVID-19 public health emergency will expire on May 11, 2023. Reimbursement for COVID-19 Specimen Collection CPT Code Update for 2022. specimen collection for COVID-19 testing using the G2023 or G2024 Level II HCPCS codes noted below. Reimbursement for COVID-19 Specimen Collection. we are getting a lot of denials for 99202/99212 and g2023 for our collection or the specimens. The PCP can bill an E/M code if the visit is for the specimen collection only, and not if it is done during a scheduled visit. Depending on the nature of the encounter and payer, you may be able to consider an E/M code and/or handling code 99000. Conversely, if the payer requires use of the Unless COVID-19 is the primary diagnosis for the admission, no portion of this . These special editions, however, are free and available for download on the AMAs website.). Lastly, the Centers for Medicare & Medicaid Services first issued new HCPCS codes for COVID-19 testing last month, and has since added more codes released last week. CMS has also established HCPCS codes for other COVID-19 tests. Refer to SPECIAL BULLETIN COVID-19 #151: Laboratory Codes for COVID-19 Testing. II HCPCS codes effective March 1, 2020. You cannot bill for specimen collection when it is collected by an untrained individual. Questions and answers regarding policies described . She has been a self-employed consultant since 1998. The specimen collection codes listed below are eligible for the IHS (Indian Health Service) encounter rate if rendered Since the current CPT . There is no unique CPT code for specimen collection for COVID-19, much like there is no such code for specimen collection for influenza. Updated: 4/17/20, You will probably find the answers to your questions here: https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf. 2021). Specimen Collection For COVID-19. For Medicare Part B, Services should only be reported as telehealth services when the individual physician or practitioner furnishing the services is not at the same location as the beneficiary. (COVID-19 FAQs on Medicare FFS Billing) Also for Medicare Part B, Physician offices can use CPT code 99211 when office clinical staff furnish assessment of symptoms and specimen collection incident to the billing professionals services for both new and established patients. All four were approved under the FDAs emergency authorization program. Kent Moore, Senior Strategist for Physician Payment. Wisconsin. Earn CEUs and the respect of your peers. . If so, what codes would I use? My stepmom went to a cash only place and had a rapid blood draw done that came back positive so they did a swab and she wants to send to insurance for reimbursement. These fees are higher than the typical specimen collection fees of $3 to $5, reflecting the higher costs required to minimize exposure risks. (MLN Connects May 7, 2020), Question: we are billing G2023 Commerical Payers Like BCBS, AETNA, UHC and CIGNA are paying for Primary care setting, my question that did commercial insurance payers also returned back paid claims amount, Can we used C9803 for out patient clinics. The new HCPCS codes (G2023, G2024) for COVID-19 specimen collection are for use by independent laboratories, not medical practices, Do you know if the PCP office can bill any codes for the collection of the specimen (swab) of Covid19 testing? Copyright 2023 American Academy of Family Physicians. Medical office providers can be reimbursed for COVID-19 specimen collection using CPT code 99211 (ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT, TYPICALLY FIVE MINUTES) with modifier CR. That depends on the specific tests used and who her insurance is with. Regarding specimen collection, please note Medicares response to the question of who can bill: Independent laboratories can bill Medicare through their MAC for the specimen collection fee. . Independent labs may bill Medicare for specimen collection fees, transportation fees, and personnel expenses for the duration of the PHE for COVID-19. COVID-19 Telehealth Billing Guide for Medi-Cal ManagedCare Page 3 of 4 . For use by hospital outpatient departments and physician offices: Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) any specimen source G2023. Louella. The reference to any specimen source also may allow you to continue to use these collection codes as the industry develops new COVID-19 tests that use different specimen sources. The lab cannot bill for specimen collection or travel. Testing may also be used for screening and determining the length of a . For swabs in saline: OP, NP or anterior nasal swabs may be placed in 1 to 3 mL of sterile saline (0.85 to 0.9%) in a sterile screw cap container. endstream endobj 563 0 obj <>stream Medical office providers can be reimbursed for COVID-19 specimen collection using CPT code 99211 (ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT, TYPICALLY FIVE MINUTES) with modifier CR. Supplies ; Instructions by Specimen Type ; Microbiology Culture Tests ; . A FQHC is not a physicians office (11) and G2023 isnt performed via telehealth (02). She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. hb```f`` ~Abl,/&`z` vM:`07y,j*Z&]6BYHo} On or after March 13, 2020. The G2023 code is only for homebound? Test Usage: Based on literature review and in-house evaluation of saliva samples collected in parallel with nasopharyngeal swabs, saliva approaches, but may not equal, the sensitivity of nasopharyngeal samples for . They were allowed a small payment for specimen collection during the public health emergency for collection and for associated travel. testing? Everyone who has symptoms that are consistent with COVID-19 and people with known high-risk exposures to SARS-CoV-2 should be tested for SARS-CoV-2 infection. There is no separate Medicare payment for the collection of the sample for the test. The AMA developed and distributed a document that includes many scenarios for collecting COVID-19 specimens, including using 99211, a nurse visit, for collecting a specimen on a day when the patient did not have an in-person visit or telehealth visit. *$35.92 in MAC A/B JH, JL, JN, JS, J8, J15, Update: CMS added the QW modifier to HCPCS Level II U0002 and CPT 87635. Outpatient Prospective Payment System (OPPS) claims receive on or after May 1, 2020 with coronavirus specimen collection codes G2023 and G2024 will be returned with edit W7062. Code 86769 should be used for antibody tests with multi-step methods. Resubmit returned claims as a packaged service to include C9803, as appropriate. Check NCCI edits. See also the CPT Assistant Special Edition April Update for the AMAs guidance on using 86328 and 86769. . As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. 559 0 obj <> endobj Effective 2/27/2021. G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), any specimen source Hospital outpatient departments should bill for symptom assessment and specimen collection for COVID-19 using HCPCS code C9803. Outpatient Prospective Payment System (OPPS) claims receive on or after May 1, 2020 with coronavirus specimen collection codes G2023 and G2024 will be returned with edit W7062. Find guidelines for healthcare providers and local and state physical departments to collecting, handling, and testing clinical specimens by COVID-19. The manual . endstream endobj 560 0 obj <>/Metadata 23 0 R/OCProperties<>/OCGs[578 0 R]>>/Outlines 56 0 R/PageLayout/SinglePage/Pages 557 0 R/StructTreeRoot 69 0 R/Type/Catalog>> endobj 561 0 obj <>/Font<>/Properties<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 562 0 obj <>stream }*3p~Q` g 577 0 obj <>/Filter/FlateDecode/ID[]/Index[559 27]/Info 558 0 R/Length 91/Prev 149738/Root 560 0 R/Size 586/Type/XRef/W[1 2 1]>>stream HWn\7W9!;`c e$Iv,b#MV=tx`/_;:;;6jtpnqs{O~;x9t#mrm\F ub.,7o#.i`%(L%$,]%m. endstream endobj 406 0 obj <>/Metadata 75 0 R/PageLabels 400 0 R/Pages 403 0 R/StructTreeRoot 157 0 R/Type/Catalog/ViewerPreferences<>>> endobj 407 0 obj <. UPDATE:Contact your Medicare Administrative Contractor if you did not include modifier CS when you submitted 99211 so they can reopen and reprocess the claim. Medicare will allow the use of U0002QW and 87635QW for claims submitted by facilities with a valid, current CLIA certificate of waiver with dates of servcie on or after March 20, 2020. More information on testing codes is available, Tech & Innovation in Healthcare eNewsletter, Check ICD-10-CM Official Guidelines Without Leaving Codify, Simplify Calculating Global Days for Procedure Codes in Codify, Coronavirus: What Every Medical Coder Needs to Know, New COVID-19 Test Codes Effective Immediately, Telehealth Coverage Expanded for Medicare Patients, https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf, https://www.ama-assn.org/system/files/2020-04/cpt-reporting-covid-19-testing.pdf, https://www.ama-assn.org/system/files/2020-04/covid-19-coding-advice.pdf, https://www.cms.gov/files/document/covid-19-laboratories.pdf, https://provider.excellusbcbs.com/en/resources/news/article?articleId=280991931&classPK=280991927, http://www.cms.gov/files/document/03092020-covid-19-. be included in the CPT 2021 code set in the Microbiology subsection of the Pathology and Laboratory section. Question: What are the new level II HCPCS codes for specimen collection for COVID-19 0 Check the NCCI edits. 'Bbc53T h`!3Z8QOC R{p2r>-. ICD-10-CM has also added a new code, U07.1 COVID-19, with official coding guidelines. CPT Code & Test Classification Updates ; DEX Z-Codes CMS Date of Service ; References. HCPCS Level II code C9803 is effective for services provided on or after March 1, 2020. Can this specimen collection code G2023 and 87635 be billed on each individual patient samples that we collected in our Lab and also from nursing home.. Yes, labs can bill specimen collections, as well as a travel allowance (P9603/P9604) for homebound and non-hospital Part B inpatients, but not for Part A hospital or SNF inpatients. All comments are moderated and will be removed if they violate our Terms of Use. These codes are for labs to bill when performed by certified techs. dependent upon the payer to which the claim is Increased fees for COVID-19 lab & specimen collection codes : June 19: COVID-19: Latest news (March 24) updated: June 19: COVID-19-We're extending our prior authorization waiver updated: June 15: . Codes. HCPCS code U0002. %PDF-1.6 % Copyright American Medical Association. Resubmit returned claims as a packaged service to include C9803, as appropriate. Just the Latest COVID-19 Codes. performed? When the specimen collection is performed as part of another service or procedure, such as a higher level visit furnished by the billing practitioner, that higher level visit code should be billed and the specimen collection would not be separately payable. (COVID-19 FAQs on Medicare FFS Billing) Modifier CS may be applicable to waive the patients cost-sharing for the COVID-19-related service. To avoid delays by turnaround time when requesting multiple tests up frozen samples, please submit separate frozen specimens to each test . Usually, the presenting problem(s) are minimal. Independent laboratories must use one of these Here is a review of the codes: Codes and Descriptions: U0001 . Medical coding resources for physicians and their staff. Follow her on Twitter @dustman_aapc. 20:iA ?9 HCPCS code 0240U CPT code 87636: Standard Diagnostic COVID-19 Testing Combined with Flu . SPECIAL BULLETIN COVID-19 #207: Medical Office Specimen Collection and CPT 99070 & 99072 . International multicenter examination of MOG . Looking at the AMA scenarios (from April 3, 2020, a lifetime ago), HCPCS codes G2023 and G2024 are for specimen collection by an independent lab. These HCPCS codes are: PDF | Word. HCPCS Level II Professional Edition -- E-Book Buck's Step-by-Step Medical Coding, 2021 Edition 2018 HCPCS Level II Professional Edition - E-Book Understanding Current Procedural Terminology and HCPCS Coding Systems, Spiral bound Version 2020 Ob/GYN Coding Manual: Components of . Contact your local third-party payer directly to Are you a coder, biller, administrator, Proper specimen collection and handling are critical for all COVID-19 testing, including those tests performed in point-of-care settings. Viral transport medium acceptable for collection of influenza specimens in 1 mL or 3 mL volumes can be used to transport swabs for COVID-19 testing. Molecular tests diagnose COVID-19 based on detection of the virus's genetic material in a sample from the patient's nose or throat. HCPCS codes G2023 and G2024 should not be billed by certified home health care agencies or skilled nursing facilities. https://provider.excellusbcbs.com/en/resources/news/article?articleId=280991931&classPK=280991927 For use by independent clinical diagnostic labs: Specimen collection for severe acute respiratory syndrome coronavirus 2 . 1818 0 obj <>stream C9803 Hospital outpatient clinic visit specimen collection for Severe Acute Respiratory Syndrome(sars-cov-2) (Covid-19)any spec $22.99 87426 Infectious agent antigen detection by immunoassay technique (for example, I know that specimen collection code 99000 is not paid by most payers, and I understand that collecting this specimen costs practices significantly. Per the standard early release delivery process for CPT codes, providers had to manually upload the code descriptors of the COVID-19 test codes into their EHR systems. If this mobile unit is run by a certified lab and the specimens are being collected by trained personnel, then yes. Renee Dustman, BS, AAPC MACRA Proficient, is managing editor - content & editorial at AAPC. These codes should only be used when the provider or facility is NOT running the test. Coding for telehealth is everchanging. In particular, it will allow providers who can bill for specimen collection codes G2023 and G2024 to bill those codes with modifier CG and receive an additional payment, so long as they meet CMSs 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen collection. what can i do to fix this issue. Some of the tests we result at our hospital outpatient lab and some are sent off to the state, but we do bill for the test (87635 or U0001) as well. They brought us testing kits today for the U0002, but there should be a code reimbursable to the Provider, I would think? A specimen that is not collected correctly may lead to false or inconclusive test results. Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role. Effective March 9, 2021, MLabs will offer saliva as specimen type for SARS-CoV-2 (COVID-19), PCR (COVID) testing. Watch this webinar about all these changes. We bill these on a UB claim not a 1500. for Commercial & Medicare payor. Centrifuge print within 24 hours of collection. %%EOF %PDF-1.5 % Let me know if this helps. endstream endobj startxref testing and specimen collection? up|q5fx=zmpkq~rFKs-;e1[Z{23f@Qor?8)~-750p40*ut }($2 B@Q 60x 9 i @ A%%9 @ The new HCPCS codes (G2023, G2024) for COVID-19 specimen collection are for use by independent laboratories, not . 2021 Jun 25;7(2). As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. hb```, cb [jo0.J-=B0 6X`!3![{vww7 fq~Zz/Ou'5 Such testing should employ either a nucleic acid amplification test (NAAT) or an antigen test to detect SARS-CoV-2. Typically, 5 minutes are spent performing or supervising these services. We were able to find COVID-19 diagnostic test prices for 93 out of 102 hospitals, ranging from $20 - $1,419 per single test, not including the price of a provider visit, facility fee, or specimen collection. Specimen collection and testing personnel requirements. They join new HCPCS Level II COVID-19 testing codes and a new CPT COVID-19 testing code. Reindl M, Schanda K, Woodhall M, et al. She knows what questions need answers and developed this resource to answer those questions. %PDF-1.6 % being submitted. Urgent care doing curbside covid testing/ eval. Answer: To identify specimen collection for COVID-19 testing, we established two new level 251 0 obj <>stream ICD-10-PCS Code(s) The Centers for Medicare and Medicaid Services (CMS) has added 12 new procedure codes to the International . I have a scenario where the PCP office is collecting the swab but then sending the specimen to outside lab for processing. 443 0 obj <>/Filter/FlateDecode/ID[<088476E6C9A8994AB01CD6250A50F599>]/Index[405 86]/Info 404 0 R/Length 162/Prev 260640/Root 406 0 R/Size 491/Type/XRef/W[1 3 1]>>stream HCPCS/CPT Description DHCS rate . Transferring serum/plasma to a screw-cap polypropylene vehicle tube. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our health care provider partners. Can we bill for example a 99213 for the virtual visit plus the 99211 for the collection? hYko+B y4 m70A[-4~PW\Ek3g8Uqfb"25S6jBP,BT:f[LhaLC= +b%hDhF#B#$3)96IQdi^Kl4zSKLL11-ig3 Im not sure you can unbundle those codes. . You may bill for both the collection and test if you meet the requirements. 1790 0 obj <> endobj COVID -19 Related Codes . She has explored the ins and outs of coding for multiple specialties, particularly radiology, cardiology, and oncology. G2024, specimen collection for severe acute respiratory syndrome coronavirus2 Either CPT U0002 or 87635? 2019. Blood sample collections are reported with CPT code 36415 (Collection of venous blood by venipuncture) or 36416 (Collection of capillary blood specimen, e.g., finger, heel, ear stick). Entering incorrect codes will only compromise data accuracy. Was the sample for the test personally collected For each state, we searched for COVID-19 test prices posted on public websites of the two largest hospitals. Use code G2024 - Specimen collection for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), from an individual in a skilled . Independent labs must use G2023 and G2024 to bill Medicare for the specimen collection fee for COVID-19 testing during the public health emergency (PHE), the interim final rule states. CHHAs providing specimen collection for homebound patients may bill rate code "4921" and rate code "4922" (travel each way) if specimen collection is the only service performed. The AMA has more information about the new codes here. should be reported. instead under Part As SNF benefit at 1861(h) of the Act). Mary. In the April rule, CMS notes that in the March rule they changed Medicare payment policies to allow for independent labs to be paid for specimen collection under certain circumstances. S%!oP\O&%|T) y( ?I 6l >`s1^H;NPy>JDO,d{d7&;X@wH=]. 237 0 obj <>/Encrypt 215 0 R/Filter/FlateDecode/ID[<75989C3348299A4AA54869724C868AC4><93F59F8A5A95D54F9FF32F74EA23353A>]/Index[214 38]/Info 213 0 R/Length 112/Prev 233903/Root 216 0 R/Size 252/Type/XRef/W[1 3 1]>>stream Clinical diagnostic laboratories can identify specimen collection for COVID-19 testing using two new HCPCS Level II codes, effective March 1, 2020. Some payers may not agree with the advice given. The file contains the SARS-CoV-2-related CPT codes released since the 2021 data file release on Aug. 31, 2020 and includes: CPT code descriptors (long, medium, and short) Published date; Effective date; Type of change. Not sure you can unbundle those codes. Privacy Policy | Terms & Conditions | Contact Us. As the descriptors reveal, both G2023 and G2024 apply to collection of any specimen source, which means you should not restrict your use of these codes based on the source of the specimen. Can outpatient hospital lab bill for this collection service for G2023 and G2024. Updated to include COVID-19 CPT code 87635 and . (02) Telehealth as of Jan. 1, 2021 Specimen collection HCPCS codes: G2023 and G2024 Cost share will be waived for COVID-19-specific specimen collection. ANA by IFA, Reflex to 11-biomarker profile, dsDNA, RNP, Sm, SS-A, SS-B, Scl-70, Chromatin, Jo-1, Centromere B, Sm/RNP, Ribosomal P by Multiplex Immunoassay . CMS has approved the use of this code . L~`$*2[6.%@jfTHfwi@q,+ a laboratory on behalf of a HHA, any specimen source Thanks for any guidance. We have lab personnel collect the specimens on outpatients that come to the Lab as well as lab personnel go to skilled facilities and collect the COVID specimens. Copyright 2023, AAPC HCPCS Level II codes can be found at https:// Learn more about the benefits of hb``c``f`e`0ed@ Ai?z+0 uMSS\451sJF'&Nd B#XhXnP95 H `>\7)|gp` QH-[[6hXqs;gk.vP1Z|{>pc`> ECD;)[ eWT; N 585 0 obj <>stream ICD-10-CM has also added a new code, U07.1 COVID-19, with official coding guidelines. For CHHA use only. If more than one reagent strip is used, modifier 59 (distinct procedural service) should be appended to the code for the second reagent strip assay to identify two distinct analyses were performed. According to a CMS Fact Sheet, CMS changed the Medicare payment rules during the PHE for the COVID-19 pandemic to provide payment to independent labs for specimen collection from beneficiaries who are homebound or inpatients not in a hospital for COVID-19 testing under certain circumstances., Hospital outpatient departments can be paid for symptom assessment and specimen collection for COVID-19 using a new HCPCS code C9803 (Hospital outpatient clinic visit When two distinct analyses are performed (e.g, IgG and IgM), 86769 is reported on two claim lines with modifier 59 (distinct procedural service) appended to 86769 on the second claim line. Each point-of-care test has been authorized for use with certain specimen types and should only be used with those specimen types. CPT 99070 (supplies and materials [except spectacles], provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered [list drugs, trays, supplies, or materials provided]) should not be reported with E/M and COVID-19 specimen collection codes. Microbiology. This Read More Everyone loves to read the general guidelines at Read More "Breathe in, Breathe out": CPT Coding for Read More Coding for hospital services The American Medical Association (AMA) recently released expedited CPT updates that include two new codes, effective April 10, for COVID-19 antibody tests: 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]). Tech & Innovation in Healthcare eNewsletter, FDA Amends COVID-19 Vaccine Emergency Use Authorizations, Unlock the Full Potential of a Medical Coder, Trinity Health Centralizes EHR, Revenue Cycle, https://www.bcbsnd.com/coronavirus/covid-19providers/billing, Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique, CDC or non-CDC, making use of highthroughput technologies, completed within 2 calendar days from date of specimen collection, nfectious agent antigen detection by immunoassay technique, (e.g., enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; severe acute respiratory syndrome coronavirus (e.g, SARS-CoV, SARSCoV-2 [COVID-19]), Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) and influenza virus types A and B SD: SARSCOV & INF VIR A&B AG IA, Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected, Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), includes titer(s), when performed, Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-C0V-2) Qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected, Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]); titer, Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), amplified probe technique, including multiplex reverse transcription for RNA targets, each analyte reported as detected or not detected, Surrogate viral neutralization test (sVNT), severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), ELISA, plasma, serum, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative. This requirement, enacted in section 3202(b) of the CARES Act, is effective for the duration of the PHE for COVID-19. For the duration of the COVID-19 PHE, we are therefore finalizing on an interim basis that when the services described by CPT code 99211 for a level 1 E/M visit are furnished for the purpose of a COVID-19 assessment and specimen collection, the code can be billed for both new and established patients. CMS, in the same paragraph, notes that direct supervision for specimen collection may be met through the virtual presence of the supervising physician or practitioner using interactive audio and video technology for the duration of the public health emergency. 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