Healthcare News: AMA releases new CPT code for COVID-19 antigen testing

July 14th, 2020

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

Article Overview

This article covers an AMA announcement about new laboratory coding for COVID-19-related antigen testing, along with related guidance referenced in a special CPT Assistant fact sheet. It is useful for medical coders, laboratory billing staff, compliance teams, and revenue cycle professionals who track CPT and Proprietary Laboratory Analyses updates. The article also notes the effective date for the new CPT entry and references additional PLA codes connected to SARS-CoV-2 testing.

Why This Topic Matters

Coding updates for laboratory testing can affect claim reporting, documentation alignment, and how COVID-19-related services are categorized in billing workflows. Readers following CPT and laboratory code updates will want to know what changed and which related code sets are mentioned.

Article Sections

  1. AMA announcement on COVID-19 antigen testing

    Overview of the AMA notice introducing a new laboratory reporting code and the general testing context it addresses.

  2. Special edition CPT Assistant fact sheet

    Summary of the companion guidance referenced by the article, including the broader topic areas covered in the fact sheet.

  3. Clinical example and description of the procedure

    Reference to the fact sheet materials that provide an example and procedural context for the new coding guidance.

What You Will Learn

  • How the article frames the AMA’s laboratory coding update
  • What related guidance sources are mentioned
  • Which code sets are discussed in connection with SARS-CoV-2 testing
  • How the article presents the effective-date context for the update

Who Should Read This

  • Medical coders
  • Laboratory billing staff
  • Compliance professionals
  • Revenue cycle teams
  • Health information management professionals

Codes Discussed

  • CPT: 87426
  • Proprietary Laboratory Analyses: 0223U
  • Proprietary Laboratory Analyses: 0224U

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