Resolved Collection and testing

[MICHELLEK_76201]

Hello,

I would like to know if you can bill collection for specimen with the antigen testing. 87811 with G2023 or G2024.

 

[Lori]

HCPCS code C9803 for Medicare patients and HCPCS code G2023 for commercial payors when billing for specimen collection in a hospital outpatient department?
CMS requires that HCPCS code C9803, Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) coronavirus disease [COVID-19], be reported when specimen collection for COVID-19 testing is performed in a hospital outpatient department. Each commercial payor will have their own guidelines and reimbursement policies related to specimen collection. It will likely be necessary to check with each regarding their specific policies to ensure accurate reimbursement for these services.

HCPCS code G2023, Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), any specimen source, was created for use when a laboratory technician travels to a non-patient’s home (Bill Type 014X) and collects the specimen for COVID-19 testing.1
G2024 is for skilled nursing facility (SNF).

Coding for COVID-19 Lab Testing and Specimen Collection

We've collected all the most asked COVID-19 billing questions from those that use our chargemaster and knowledge solutions, and from attendees of past webinars. We've then categorized them to make answers easier to find. In this article, we'll cover FAQs around coding for COVID-19 lab testing and…

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