icd 10 code for rapid covid 19 test

by Beaulah Heidenreich 10 min read

U07. 1 should only be used for confirmed cases of COVID-19 with positive or presumptive-positive test results.Oct 19, 2020

What is the difference between a COVID-19 rapid Point-of-Care test and a self-test?

Rapid Point-of-Care tests, test performed or interpreted by someone other than the individual being tested, can be performed in minutes and can include antigen and some NAATs. Self-tests are rapid tests that can be taken at home or anywhere, are easy to use, and produce rapid results.

What is a PCR test in the context of COVID-19 testing?

A PCR test stands for polymerase chain reaction test. This is a diagnostic test that determines if you are infected by analyzing a sample to see if it contains genetic material from the virus.

What is the difference between a molecular test and rapid antigen tests for COVID-19?

Molecular tests are generally more accurate and mostly processed in a laboratory, which takes longer; antigen tests—or “rapid tests”—are processed pretty much anywhere, including at home, in doctors' offices, or in pharmacies.

Why PCR is better than the rapid COVID-19 test?

“PCR tests are more reliable and accurate due to testing the specific genetic material of the virus, eliminating the interference from other viruses,” said Heather Seyko, a Laboratory Services manager for OSF HealthCare.

How accurate are COVID-19 PCR tests?

PCR tests are very accurate when properly performed by a health care professional, but the rapid test can miss some cases.

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.

Are molecular or rapid COVID-19 tests more accurate?

Molecular tests are generally more accurate and mostly processed in a laboratory, which takes longer; antigen tests—or “rapid tests”—are processed pretty much anywhere, including at home, in doctors' offices, or in pharmacies.

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 tests are used to diagnose COVID-19?

Diagnostic tests can show if you currently are infected with SARS-CoV-2, the virus that causes COVID-19. There are two types of COVID-19 diagnostic tests:Molecular tests, such as polymerase chain reaction (PCR) tests Antigen tests, often referred to as rapid tests

When should you take a COVID-19 PCR test instead of a rapid antigen test?

“PCR would be chosen where there is a low likelihood of having the virus, but we want to be certain the patient doesn't have it. Antigen would be chosen if there is a high probability the patient has the virus (i.e. is experiencing symptoms), and we need to screen the patient as positive or negative,” Heather said.

What are the pros and cons of at-home rapid tests for COVID-19?

While home tests provide a quick, accurate result, the flip side is that many test results are no longer reported to health authorities. The power behind widely available over-the-counter testing is that people can quickly and conveniently know their infection status early on to prevent spreading the virus to others.

Are at-home COVID-19 rapid antigen tests accurate?

Previous research by our study team and others suggests that over-the-counter tests are more likely to detect an infection among people who are actively contagious.

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 included in CPT 20…
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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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