Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV and SARS-CoV-2) Laboratory Testing (June 2020)

June 2020 page 0 Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV and SARS-CoV-2) Laboratory Testing As the coronavirus (COVID-19) pandemic continues and responses to the disease continue to evolve, the American Medical Association (AMA) Current Procedural Terminology (CPT®) Editorial Panel convened a special meeting to approve additional codes specific to laboratory testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]). To address the ongoing clinical need to report testing, the CPT Editorial Panel has added one new Category I code (87426) to provide increased specificity for reporting immunoassay antigen testing and two new proprietary laboratory analyses...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT Assistant article explains June 2020 laboratory testing guidance tied to severe acute respiratory syndrome coronavirus testing during the COVID-19 public health emergency. It is relevant to coding professionals, laboratory staff, and billing teams seeking a high-level view of newly added CPT and PLA code coverage, appendix listing references, and related clinical examples and procedural descriptions.

Why This Topic Matters

The article reflects rapid code updates issued during the pandemic and shows how laboratory testing for SARS-CoV and SARS-CoV-2 was being organized in CPT. It helps readers understand the scope of the guidance before reviewing the full article.

Article Sections

  1. June 2020 page 0

    Introductory material on the June 2020 CPT update and the laboratory testing topic area.

  2. Microbiology

    CPT laboratory coding content related to microbiology testing and the new coronavirus-related reporting focus.

  3. Proprietary Laboratory Analyses

    PLA-related coding content, including the laboratory analysis category and references to CPT listing locations.

  4. Proprietary Name and Clinical Laboratory or Manufacturer

    Manufacturer-linked PLA listing information and how the tests are presented in the CPT appendix context.

  5. Clinical Example (87426) / Description of Procedure (87426)

    A combined clinical example and procedure description associated with one of the new laboratory testing codes.

  6. Clinical Example (0223U) / Description of Procedure (0223U)

    A combined clinical example and procedure description associated with a molecular respiratory panel PLA code.

  7. Clinical Example (0224U) / Description of Procedure (0224U)

    A combined clinical example and procedure description associated with a SARS-CoV-2 antibody PLA code.

What You Will Learn

  • The general purpose of the June 2020 CPT laboratory testing update
  • Which code families are discussed in relation to SARS-CoV and SARS-CoV-2 testing
  • How the article frames appendix and publisher listing references for PLA reporting
  • What kinds of clinical scenarios are used to illustrate the new laboratory testing guidance

Who Should Read This

  • Medical coders
  • Billing and reimbursement staff
  • Clinical laboratory personnel
  • Compliance and coding educators
  • Healthcare administrators

Codes Discussed


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