{"id":42769,"date":"2023-01-31T22:30:37","date_gmt":"2023-01-31T17:00:37","guid":{"rendered":"https:\/\/www.seminarsonly.com\/news\/?p=42769"},"modified":"2023-01-31T22:30:37","modified_gmt":"2023-01-31T17:00:37","slug":"aetna-cpt-code-lookup-common-procedural-technology-cpt-codes-aetna","status":"publish","type":"post","link":"https:\/\/seminarsonly.com\/news\/aetna-cpt-code-lookup-common-procedural-technology-cpt-codes-aetna\/","title":{"rendered":"Aetna CPT Code Lookup : Common Procedural Technology (CPT) codes Aetna"},"content":{"rendered":"

Aetna CPT Code Lookup : Common Procedural Technology (CPT) codes Aetna<\/span><\/h2>\n

Aetna is complying with the CMS coding guidelines for COVID-19 lab testing. The following codes should be used for COVID-19 testing for commercial and Medicare plans:<\/p>\n

U0001<\/strong> –<\/h3>\n

2019 Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel should be used when specimens are sent to the CDC and CDC-approved local\/state health department laboratories.<\/p>\n

U0002 –<\/h3>\n

2019-nCoV Coronavirus, SARS-CoV-2\/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC should be used when specimens are sent to commercial laboratories, e.g. Quest or LabCorp, and not to the CDC or CDC-approved local\/state health department laboratories.<\/p>\n

U0003 –<\/h3>\n

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique, making use of high throughput technologies as described by CMS-2020-01-R.<\/p>\n

U0004 –<\/h3>\n

2019-nCoV Coronavirus, SARS-CoV-2\/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC, making use of high throughput technologies as described by CMS-2020-01-R.<\/p>\n

U0005* –<\/h3>\n

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique, CDC or non-CDC, making use of high throughput technologies, completed within two calendar days from date and time of specimen collection. (List separately in addition to either HCPCS code U0003 or U0004).<\/p>\n

0202U** –<\/h3>\n

Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected.<\/p>\n

0223U** –<\/h3>\n

Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected.<\/p>\n

0225U** –<\/h3>\n

Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), amplified probe technique, including multiplex reverse transcription for RNA targets, each analyte reported as detected or not detected.<\/p>\n

0226U –<\/h3>\n

Surrogate viral neutralization test (sVNT), severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), ELISA, plasma, serum.<\/p>\n

0240U –<\/h3>\n

Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 3 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B), upper respiratory specimen, each pathogen reported as detected or not detected.<\/p>\n

0241U –<\/h3>\n

Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected.<\/p>\n

86413 –<\/h3>\n

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative.<\/p>\n

87426 –<\/h3>\n

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; severe acute respiratory syndrome coronavirus (e.g. SARS-CoV, SARS-CoV-2 [COVID-19]).<\/p>\n

87635 –<\/h3>\n

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique. Use of code 87635 will help the labs to efficiently report and track testing services related to SARS-CoV-2 and will streamline the reporting and reimbursement for this test in the US.<\/p>\n

87636 –<\/h3>\n

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique.<\/p>\n

87637 –<\/h3>\n

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique.<\/p>\n

87811 –<\/h3>\n

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]).<\/p>\n

86328 –<\/h3>\n

Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (e.g., reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]).<\/p>\n

86408 –<\/h3>\n

Long Descriptor: Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]); screen.<\/p>\n

86409 –<\/h3>\n

Long Descriptor: Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]); titer.<\/p>\n

86769 –<\/h3>\n

Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]).<\/p>\n

0224U –<\/h3>\n

Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), includes titer(s), when performed.<\/p>\n

\"CVS<\/div>\n

*As announced by CMS, starting January 1, 2021, Medicare will make an additional $25 add-on payment to laboratories for a COVID-19 diagnostic test run on high throughput technology if the laboratory: a) completes the test in two calendar days or less, and b) completes the majority of their COVID-19 diagnostic tests that use high throughput technology in two calendar days or less for all of their patients (not just their Medicare patients) in the previous month. Laboratories that complete a majority of COVID-19 diagnostic tests run on high throughput technology within two days will be paid $100 per test by Medicare, while laboratories that take longer will receive $75 per test. CMS established these requirements to support faster high throughput COVID-19 diagnostic testing and to ensure all patients (not just Medicare patients) benefit from faster testing. These actions will be implemented under the amended Administrative Ruling (CMS-2020-1-R2) and coding instructions for the $25 add-on payment (HCPCS code U0005).<\/p>\n","protected":false},"excerpt":{"rendered":"

Aetna CPT Code Lookup : Common Procedural Technology (CPT) codes Aetna Aetna is complying with the CMS coding guidelines for COVID-19 lab testing. The following codes should be used for…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-42769","post","type-post","status-publish","format-standard","hentry","category-news"],"yoast_head":"\nAetna CPT Code Lookup : Common Procedural Technology (CPT) codes Aetna - Seminarsonly.com<\/title>\n<meta name=\"description\" content=\"Aetna is complying with the CMS coding guidelines for COVID-19 lab testing. 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