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South Country Health Alliance | COVID-19 Related Lab Codes

Lab Services Related to COVID-19

The Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) have created the following new Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes to use when billing for testing and lab tests related to COVID-19.
COVID-19 Lab CodesEffective DateMedicareMedicaidDetailed Description
U00012/4/2020Covered ServiceCovered ServiceCDC-2019 Novel Coronavirus Real Time RT-PCR Diag Test Panel
This code to be used if the CDC and Prevention lab test is performed
U00022/4/2020Covered ServiceCovered Service2019 nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19)
This code to be used if the test performed is not the CDC test
U00033/18/2020Covered ServiceCovered ServiceInfectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified prove technique, making use of high throughput technologies as described by CMS-2020-01-R
U0003 should identify tests that would otherwise be identified by CPT code 87635 but for being performed with high throughput technologies
U00043/18/2020Covered ServiceCovered Service2019 nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC, making use of high throughput technologies as described by CMS-2020-01-R
U0004 should identify tests that would otherwise be identified by U0002 but for being performed with these high throughput technologies
G20233/1/2020Covered ServiceCovered ServiceSpecimen collection for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19], any specimen source
G20243/1/2020Covered ServiceCovered ServiceSpecimen collection for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), from an individual in a skilled nursing facility or by a laboratory on behalf of a home health agency, any specimen source
C98033/1/2020Covered ServiceCovered ServiceSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), any specimen source
863183/1/2020Covered ServiceCovered ServiceSevere acute respiratory syndrome coronavirus 2 (SARS-CoV2)(Coronavirus disease [COVID-19])
863284/10/2020Covered ServiceCovered ServiceImmunoassay for Infectious Agent Antibody(ies), Qualitative or semi-quantitative Single Step Method (e.g., Reagent Strip); Severe Acute Respiratory Syndrome Coronavirus2 (SARS-CoV2) (Coronavirus Disease [COVID-19])
867694/10/2020Covered ServiceCovered ServiceAntibody; Severe Acute Respiratory Syndrome Coronavirus2 (SARS-CoV2) (Coronavirus Disease [COVID-19])
876353/13/2020Covered ServiceCovered ServiceMicrobiological laboratory testing for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2)

For more information, review the AMA billing guidelines regarding COVID-19 lab codes.

COVID-19  developments are changing rapidly and we will be updating our website as new developments occur. Please check back frequently for updates.