CPT^® 87635, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87635 as maintained by American Medical Association, is a medical procedural code under the range - Infectious Agent Antigen Detection.

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Summary

Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus ), which causes coronavirus disease 2019 (COVID–19).

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MODIFIERS
ICD-10-CM

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87635

a quick question regarding 87635 cpt code. if patient was done covid test ( 87635) but result was invalid do we still bill insurance with any modifier? please help.... [ Read More ]

87635 collection sent to lab

[QUOTE="SHobbs, post: 509314, member: 124048"] I am so confused right now... Maybe someone could help. I am trying to help this provider, they are billing 87635 and when I questioned if they performed... [ Read More ]

QW Modifier

We are a CLIA accredited lab. Do we still need to use the QW modifier on CLIA waved tests on our claims. Codes in question are Influenza A&B 87502 and Covid 87635. It was my understanding from year... [ Read More ]

87635 collection sent to lab

I am so confused right now... Maybe someone could help. I am trying to help this provider, they are billing 87635 and when I questioned if they performed the test in house they said "this was not an i... [ Read More ]

COVID TEST MODIFIER QUESTION

[QUOTE="gchmelewski, post: 506619, member: 402277"] HI, you would bill for the labs that you are doing in office and not bill for the ones you are sending off. 87426 does need qw and you should appe... [ Read More ]

99211 with 87811/87635

I am looking for the same answer and that link wasn't quite clear. I am looking to see if we can bill the 99211 (CS modifier) with 87635 if no office visit was performed.... [ Read More ]

COVID TEST MODIFIER QUESTION

HI, you would bill for the labs that you are doing in office and not bill for the ones you are sending off. 87426 does need qw and you should append your clia # to the code. we do not have qw on 87... [ Read More ]

COVID TEST MODIFIER QUESTION

We are having some trouble finding the right way to be coding for covid tests out of our doctor’s office. Do codes 87426 & 87635 need a QW modifier? 87635 is done in office but is being sent to a ... [ Read More ]

Rapid COVID Testing

Wondering if anyone has opinions on the code for a rapid COVID test. The practice I work for is CLIA certified for the testing. We have been using code 87635 and has been getting denied. I spoke wit... [ Read More ]

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