Wiki 87426 question

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Are any other offices having reimbursment issues with United Health Care for Covid test 87426? We are not getting paid what we pay for the test, and the only answer is "that is what your fee schedule is."

mariaher921

Contributor
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Location
Richlands, NC
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previously we were billing out 99000 for covid testing. Now between with the 87426 coming out my office is saying that the 87426 is saying its the antigen and not testing someone. I honestly am unsure how to treat it, as there are people saying different things. I thought this 87426 was the new 'pt coming in office to test for this' - I would like someone else to weigh their opinion in with this, so i can see waht others are thinking. Thank you!
 

SharonCollachi

True Blue
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Clovis, CA
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99000 was never the right code. If someone was coming in just to test, and you were collecting the test and sending it out, then it was 99211.

If you are doing a point-of-care 87426, and that is the only reason the patient is coming in, then that is the only thing you would bill.
 
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