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Ask a Rev Cycle Expert: Charging for CPT 87811?

Question:

Lab testing supplies will be provided for free by the state. Should there still be a charge for performing the test (since the supplies are free), for the collection of the sample, or for both?

Answer:

Because the test reported with Current Procedural Terminology (CPT®) code 87811 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) is being provided as a means of controlling an infectious disease, you are able to charge for the test. Because facility resources are utilized for the collection of the test, including additional precautions necessary to halt the spread of the COVID-19 virus, providers are able to report the collection of the specimen.



Disclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. It is not intended to take the place of either the written policies or regulations. We encourage you to review the specific regulations and other interpretive materials as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).