COVID-19 CPT Category Codes for Severe Acute Respiratory Syndrome Coronavirus 2

May 6, 2021 9:34 pm

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S. No. Code Description Additional information Effective date
1 87635 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 The following code was accepted at the March 2020 CPT Editorial Panel meeting for the 2021 CPT production cycle. This code is effective immediately on March 13, 2020. *Note that code 87635 will be a child code under parent code 87471 13-Mar-20
2 86318 Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip). The following codes, guidelines, and parenthetical notes were accepted and/or revised at the April 2020 CPT Editorial Panel meeting for the 2021 CPT production cycle. The codes, guidelines, and parenthetical notes are effective immediately on April 10, 2020. 10-Apr-20
3 86328 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]. For severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] [Coronavirus disease {COVID-19}] antibody testing using multiple-step method, use 86769. For the detection of antibodies other than those to infectious agents, see specific antibody [eg, 86021- 86023, 86376, 86800, 86850-86870] or specific method [eg, 83516, 86255, 86256]. For infectious agent/antigen detection, see 87260- 87899 The following codes, guidelines, and parenthetical notes were accepted and/or revised at the April 2020 CPT Editorial Panel meeting for the 2021 CPT production cycle. The codes, guidelines, and parenthetical notes are effective immediately on April 10, 2020. 10-Apr-20
4 86602 Antibody, actinomyces The following codes, guidelines, and parenthetical notes were accepted and/or revised at the April 2020 CPT Editorial Panel meeting for the 2021 CPT production cycle. The codes, guidelines, and parenthetical notes are effective immediately on April 10, 2020. 10-Apr-20
5 86635 Coccidioides. For severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] [Coronavirus disease {COVID-19}] antibody testing, see 86328, 86769. "The following codes, guidelines, and parenthetical notes were accepted and/or revised at the April 2020 CPT Editorial Panel meeting for the 2021 CPT production cycle. The codes, guidelines, and parenthetical notes are effective immediately on April 10, 2020. 10-Apr-20
6 86769 "Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]). For severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] [Coronavirus disease {COVID-19}] antibody testing using single-step method, use 86328." "The following codes, guidelines, and parenthetical notes were accepted and/or revised at the April 2020 CPT Editorial Panel meeting for the 2021 CPT production cycle. The codes, guidelines, and parenthetical notes are effective immediately on April 10, 2020. " 10-Apr-20
7 87426 "Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) " "The following code was accepted by the Executive Committee of the CPT Editorial Panel. This code is effective immediately on June 25, 2020. *Note that code 87426 will be a child code under parent code 87301. It is represented here as the full long descriptor including the language from parent code 87301. *This code was revised at the October 2020 CPT Editorial Panel meeting. Please see the October 6, 2020 listing below. " 25-Jun-20
8 86408 "Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID19]); screen" "The following codes were accepted by the CPT Editorial Panel. These codes are effective immediately on August 10, 2020. " 10-Apr-20
86409
9 86413 "Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative " "The following guidelines, parenthetical note, and codes were accepted by the CPT Editorial Panel. These guidelines, parenthetical note, and codes are effective immediately on September 8, 2020. *Note that resequenced code 86413 will follow code 86409. " 8-Sep-20
10 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) For supply of spectacles, use the appropriate supply codes). For additional supplies, materials, and clinical staff time required during a Public Health Emergency, as defined by law, due to respiratory-transmitted infectious disease, use 99072" "The following guidelines, parenthetical note, and codes were accepted by the CPT Editorial Panel. These guidelines, parenthetical note, and codes are effective immediately on September 8, 2020. *Note that resequenced code 86413 will follow code 86409. " 8-Sep-20
99072
11 86317 "Immunoassay for infectious agent antibody, quantitative, not otherwise specified. For immunoassay techniques for non-infectious agent antigens, see 83516, 83518, 83519, 83520. For infectious agent antigen detection by immunoassay technique, see 87301-87451. For infectious agent antigen detection by immunoassay technique with direct optical [ie, visual] observation, see 87802-87899. For particle agglutination procedures, use 86403." The following guidelines, parenthetical notes, and codes were accepted, revised, and deleted by the CPT Editorial Panel. These guidelines, arenthetical notes, and codes are effective immediately on October 6, 2020. *Please note the following: 1) Code 87426 was added at the June 25, 2020 CPT Editorial Panel meeting and further revised at the October 6, 2020 CPT Editorial Panel meeting; 2) codes 87449 and 87551 are now child codes under code 87301; and 3) code 87636 will follow code 87635. 6-Oct-20
12 87250 "Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection." The following guidelines, parenthetical notes, and codes were accepted, revised, and deleted by the CPT Editorial Panel. These guidelines, arenthetical notes, and codes are effective immediately on October 6, 2020. *Please note the following: 1) Code 87426 was added at the June 25, 2020 CPT Editorial Panel meeting and further revised at the October 6, 2020 CPT Editorial Panel meeting; 2) codes 87449 and 87551 are now child codes under code 87301; and 3) code 87636 will follow code 87635. 6-Oct-20
13 87255 "including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity). " The following guidelines, parenthetical notes, and codes were accepted, revised, and deleted by the CPT Editorial Panel. These guidelines, arenthetical notes, and codes are effective immediately on October 6, 2020. *Please note the following: 1) Code 87426 was added at the June 25, 2020 CPT Editorial Panel meeting and further revised at the October 6, 2020 CPT Editorial Panel meeting; 2) codes 87449 and 87551 are now child codes under code 87301; and 3) code 87636 will follow code 87635. 6-Oct-20
14 87301 "Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA]" The following guidelines, parenthetical notes, and codes were accepted, revised, and deleted by the CPT Editorial Panel. These guidelines, arenthetical notes, and codes are effective immediately on October 6, 2020. *Please note the following: 1) Code 87426 was added at the June 25, 2020 CPT Editorial Panel meeting and further revised at the October 6, 2020 CPT Editorial Panel meeting; 2) codes 87449 and 87551 are now child codes under code 87301; and 3) code 87636 will follow code 87635. 6-Oct-20
15 87426 "severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])" The following guidelines, parenthetical notes, and codes were accepted, revised, and deleted by the CPT Editorial Panel. These guidelines, arenthetical notes, and codes are effective immediately on October 6, 2020. *Please note the following: 1) Code 87426 was added at the June 25, 2020 CPT Editorial Panel meeting and further revised at the October 6, 2020 CPT Editorial Panel meeting; 2) codes 87449 and 87551 are now child codes under code 87301; and 3) code 87636 will follow code 87635. 6-Oct-20
16 87636 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique The following guidelines, parenthetical notes, and codes were accepted, revised, and deleted by the CPT Editorial Panel. These guidelines, arenthetical notes, and codes are effective immediately on October 6, 2020. *Please note the following: 1) Code 87426 was added at the June 25, 2020 CPT Editorial Panel meeting and further revised at the October 6, 2020 CPT Editorial Panel meeting; 2) codes 87449 and 87551 are now child codes under code 87301; and 3) code 87636 will follow code 87635. 6-Oct-20
17 87637 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique The following guidelines, parenthetical notes, and codes were accepted, revised, and deleted by the CPT Editorial Panel. These guidelines, arenthetical notes, and codes are effective immediately on October 6, 2020. *Please note the following: 1) Code 87426 was added at the June 25, 2020 CPT Editorial Panel meeting and further revised at the October 6, 2020 CPT Editorial Panel meeting; 2) codes 87449 and 87551 are now child codes under code 87301; and 3) code 87636 will follow code 87635. 6-Oct-20
18 87811 "severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])" The following guidelines, parenthetical notes, and codes were accepted, revised, and deleted by the CPT Editorial Panel. These guidelines, arenthetical notes, and codes are effective immediately on October 6, 2020. *Please note the following: 1) Code 87426 was added at the June 25, 2020 CPT Editorial Panel meeting and further revised at the October 6, 2020 CPT Editorial Panel meeting; 2) codes 87449 and 87551 are now child codes under code 87301; and 3) code 87636 will follow code 87635. 6-Oct-20
19 87899 not otherwise specified The following guidelines, parenthetical notes, and codes were accepted, revised, and deleted by the CPT Editorial Panel. These guidelines, arenthetical notes, and codes are effective immediately on October 6, 2020. *Please note the following: 1) Code 87426 was added at the June 25, 2020 CPT Editorial Panel meeting and further revised at the October 6, 2020 CPT Editorial Panel meeting; 2) codes 87449 and 87551 are now child codes under code 87301; and 3) code 87636 will follow code 87635. 6-Oct-20
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