COVID-19

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What is COVID-19?

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019.


What are the most common and main signs and symptoms of COVID-19?

Fever or chills, Cough, Shortness of breath or difficulty breathing, Fatigue, Muscle or body aches, Headache, New loss of taste or smell, Sore throat, Congestion or runny nose, Nausea or vomiting, Diarrhea


When to seek emergency medical attention?

If someone is showing any of most possible signs, seek emergency medical care immediately:

Trouble breathing, Persistent pain or pressure in the chest, New confusion, Inability to wake or stay awake and Bluish lips or face

Source : https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html


What are CMS (Centers for Medicare and Medicaid Services) approved for COVID-19 (HCPCS) procedures?

  1. In response to the urgent need to bill for COVID-19: U0001 and U0002
  2. High-Production Coronavirus Lab Tests: U0003 and U0004
  3. Specimen Collection Codes for Laboratories Billing for COVID-19 Testing: G2023 and G2024
  4. Hospital OPPS: New Coronavirus Specimen Collection Code: C9803

Source: https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2020-03-31-mlnc-se


What are AMA (American Medical Association) approved for COVID-19 (CPT) procedures?

  1. CPT code for COVID-19 procedure: CPT code 87635
  2. CPT codes to report blood tests that detect COVID-19 antibodies: CPT code 86328 and CPT code 86769
  3. CPT code for additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Public Health Emergency as defined by law, due to respiratory-transmitted infectious disease: CPT code 99072
  4. CPT code use as an aid in investigating the presence and temporal evolution of the adaptive immune response to SARS-CoV-2.: CPT code 86413
  5. Other new additions: CPT code 87636, 87637, 87301 to 87430, 87426 and 87811

Sources:
https://www.ama-assn.org/practice-management/cpt/covid-19-cpt-coding-and-guidance
https://www.ama-assn.org/press-center/press-releases/ama-announces-new-cpt-codes-covid-19-advancements-expand
https://www.ama-assn.org/press-center/press-releases/new-cpt-codes-multi-virus-tests-detect-covid-19-and-flu


What is the cash pay price of COVID-19 Testing?

  1. RT-PCR - $125.00
  2. RAPID ANTIGEN - $100.00
  3. ANTIBODY - $49.00