AHA Coding Clinic® for HCPCS - 2020 Issue 4; Ask the Editor

PLA code 0202U vs. CPT code 87635

Our facility utilizes the BioFire® respiratory panel 2.1, a proprietary laboratory test (PLA) represented by code 0202U that tests 22 targets including SARS-CoV-2. It is our only in-house option for COVID-19 test reporting. Is it appropriate to assign code 0202U, 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, when the only test ordered is for COVID-19 or should CPT code 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, be assigned instead? ...

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