icd 10 code for covid antigen testing

by Kris Anderson Jr. 7 min read

Diagnosis Coding. Effective April 1, 2020, a new ICD-10-CM diagnosis code chapter, Chapter 22 Codes for Special Purposes (U00-U85) and new code U07. 1 COVID-19 was made available for reporting the coronavirus diagnosis.Oct 19, 2020

What are COVID-19 antigen tests?

Antigen tests are commonly used in the diagnosis of respiratory pathogens, including influenza viruses and respiratory syncytial virus. The U.S. Food and Drug Administration (FDA) has granted emergency use authorization (EUA) for antigen tests that can identify SARS-CoV-2.

What is the difference between COVID-19 antigen testing and molecular testing?

Antigen tests search for pieces of protein from the SARS-CoV-2 virus. The sample you provide is treated with a reagent and analyzed on the spot by a health care professional. Unlike molecular tests, these require a higher level of virus in the test sample before the test will turn positive.Jan 20, 2022

What is COVID-19 antibody test used for?

Antibody (or serology) tests are used to detect previous infection with SARS-CoV-2 and can aid in the diagnosis of multisystem inflammatory syndrome in children (MIS-C) and in adults (MIS-A)2. CDC does not recommend using antibody testing to diagnose current infection.

What does a positive COVID-19 antigen test result mean?

Positive test results using a viral test (NAAT or antigen) in persons with signs or symptoms consistent with COVID-19 indicate that the person has COVID-19, independent of vaccination status of the person.

Which COVID-19 tests are more accurate PCR or antigen tests?

PCR tests are more accurate than antigen tests. "PCR tests are the gold standard for detecting SARS-CoV-2," says Dr. Broadhurst. "It is the most accurate testing modality that we have.Dec 29, 2021

What is the accuracy of the COVID-19 antigen test?

If possible, taking an at-home rapid COVID-19 test the day of the event is ideal. While these tests aren't 100% accurate, a negative result strongly suggests that you're not contagious at that particular time.Dec 3, 2021

Can an antibody test be used to diagnose a current COVID-19 infection?

An antibody test cannot be used to diagnose current COVID-19 because an antibody test does not detect SARS-CoV-2. Only COVID-19 diagnostic tests can be used to diagnose current COVID-19. A positive antibody test result can be used to help identify people who may have had a prior SARS-CoV-2 infection or prior COVID-19.Feb 24, 2022

Should you get a COVID-19 antibody test right after having an infection?

After infection with the COVID-19 virus, it can take two to three weeks to develop enough antibodies to be detected in an antibody test, so it's important that you're not tested too soon. Antibodies may be detected in your blood for several months or more after you recover from COVID-19 .May 6, 2021

What does it mean if I have no COVID-19 antibodies in my blood?

You may not have COVID-19 antibodies. This could be because you have not had an infection with the virus that causes COVID-19 or have not received a COVID-19 vaccine. Antibody testing is not currently recommended to determine if you are immune to COVID-19 following COVID-19 vaccination.

Are COVID-19 rapid antigen tests accurate if no symptoms are present?

Antigen tests are still fairly accurate, particularly when someone is experiencing symptoms and their viral load is very high. However, they can be less accurate when someone has a lower viral load, such as in someone without symptoms. This could lead to false negative test results.Dec 3, 2021

How long does it take to get results for a COVID-19 antigen test?

This COVID-19 test detects certain proteins in the virus. Using a long nasal swab to get a fluid sample, some antigen tests can produce results in minutes. Others may be sent to a lab for analysis.Feb 23, 2022

What can cause a false positive COVID-19 rapid antigen test?

The investigators also point out that false-positives are possible due to administering the test too early or late in the infectious stage, or from incorrectly performing the self-test. Jan 18, 2022

Insurance Coverage

Diagnosis Coding

  • Effective April 1, 2020, a new ICD-10-CM diagnosis code chapter, Chapter 22 Codes for Special Purposes (U00-U85) and new code U07.1 COVID-19was made available for reporting the coronavirus diagnosis.
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Swab Collection

  • There is no specific code for swabbing the enduring for COVID-19. Swab collection is included in E/M service. However, if collected in the office and transported to the laboratory, CPT code 99000 can be billed: 1. 99000: Handling and/or conveyance of specimen for transfer from office to a laboratory
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Laboratory

  • There are three codes for COVID-19 testing: 87635 is designed to detect the COVID-19 virus and effective March 13, 2020, and 86328 and 86769 will be used to identify the presence of antibodiesto the COVID-19 virus and are effective April 10, 2020. Please note that all aforementioned changes are not included in CPT 2020 code set. They will be includ...
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In-Person Office Visits

  • The American Medical Association has created a billing code to reimburse for the additional supplies and clinical staff time required to mitigate transmission of respiratory infectious disease while providing evaluation, treatment, or procedural services during a public health emergency in the outpatient office setting. CPT® code 99072 can be utilized by all payers, although there has …
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Additional Resources

Payer Resources

  • Private payers continue to update their policies as the COVID-19 public health crisis. To check each payer’s most updated policy changes in relation to the billing and coding for telehealth and COVID-19, please visit the payer’s website.
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