Codes already exist in the Pathology and Laboratory section of the CPT code set for coronavirus. What is the difference between the new code 87635 and the other CPT codes that state coronavirus in their descriptor (ie, 87631 , 87632 , 87633 , 0098U , 0099U , 0100U )? ...
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Article Overview
This article covers a comparison of coronavirus-related laboratory testing codes in the CPT Pathology and Laboratory section, including how a newer code relates to existing multiplex respiratory virus codes and proprietary laboratory analysis codes. It is relevant to coders, billers, laboratory staff, and compliance teams who work with molecular diagnostics and respiratory pathogen testing. The discussion focuses on the general distinctions among the code families involved and why the new code matters for reporting coronavirus testing.
Why This Topic Matters
Coronavirus testing created fast-moving coding questions for laboratories and billing teams. Understanding how the related CPT and PLA code families are organized helps readers identify which coding guidance applies to respiratory pathogen testing workflows.
What You Will Learn
- How coronavirus-related laboratory testing is organized within CPT
- How multiplex respiratory virus testing codes are grouped
- How proprietary laboratory analysis codes are positioned relative to CPT laboratory codes
- What broad considerations make the newer coronavirus testing code distinct from older respiratory pathogen testing codes
Who Should Read This
- Medical coders
- Medical billers
- Laboratory personnel
- Compliance staff
- Revenue cycle teams
Codes Discussed
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