mscribetech
Guest
I am the billing account manager for a neurologist in Atlanta. He is asking if he can test his church congregation for covid and receive reimbursement. The CPT code is G2023. If so, would it get billed for place of service?
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Wiki Coding question covid
- Thread starter mscribetech
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SharonCollachi
Guest
It appears he is trying to bill as if he is a laboratory; that would make the CPT code incorrect. From Medicare:
Question: Please explain the different codes for use in COVID-19 specimen collection?
Answer: Medicare established two codes, G2023 and G2024, for specimen collection for COVID-19 clinical diagnostic laboratory tests. Independent clinical diagnostic laboratories can bill for these services as well as a travel allowance (HCPCS codes P9603 and P9604) when they collect specimens from beneficiaries who are homebound or non-hospital (SNF) Part B inpatients, that is, individuals in a Part B SNF stay and individuals whose samples will be collected by a laboratory on behalf of an HHA. However, these specimen collection fee codes may not be billed for a hospital or SNF inpatient in a Part A stay, as the costs for tests (including sample collection) for those patients are already paid and covered as part of the stay. Please refer to IFC1 and the related FAQs, https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf
Medicare is also paying for specimen collection by hospital outpatient departments and physician offices at their locations. Hospital outpatient departments can use new HCPCS code C9803 to bill for a clinic visit dedicated to specimen collection. This service is conditionally packaged and only receives separate payment when it is billed without another primary covered hospital outpatient service or with a clinical diagnostic laboratory test that is assigned status indicator “A” in Addendum B of the OPPS. Physician offices can use CPT code 99211 when office clinical staff furnish assessment of symptoms and specimen collection incident to the billing professional’s services for both new and established patients. When the specimen collection is performed as part of another service or procedure, such as a higher level visit furnished by the billing practitioner, that higher level visit code should be billed and the specimen collection would not be separately payable. Physicians can bill for services provided by pharmacists incident to their professional services consistent with requirements under 42 CFR 410.26 and state scope of practice and license requirements. The specimen collection codes (which do not include CPT code 99211) are only active during the PHE. New 6/19/20
Question: Please explain the different codes for use in COVID-19 specimen collection?
Answer: Medicare established two codes, G2023 and G2024, for specimen collection for COVID-19 clinical diagnostic laboratory tests. Independent clinical diagnostic laboratories can bill for these services as well as a travel allowance (HCPCS codes P9603 and P9604) when they collect specimens from beneficiaries who are homebound or non-hospital (SNF) Part B inpatients, that is, individuals in a Part B SNF stay and individuals whose samples will be collected by a laboratory on behalf of an HHA. However, these specimen collection fee codes may not be billed for a hospital or SNF inpatient in a Part A stay, as the costs for tests (including sample collection) for those patients are already paid and covered as part of the stay. Please refer to IFC1 and the related FAQs, https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf
Medicare is also paying for specimen collection by hospital outpatient departments and physician offices at their locations. Hospital outpatient departments can use new HCPCS code C9803 to bill for a clinic visit dedicated to specimen collection. This service is conditionally packaged and only receives separate payment when it is billed without another primary covered hospital outpatient service or with a clinical diagnostic laboratory test that is assigned status indicator “A” in Addendum B of the OPPS. Physician offices can use CPT code 99211 when office clinical staff furnish assessment of symptoms and specimen collection incident to the billing professional’s services for both new and established patients. When the specimen collection is performed as part of another service or procedure, such as a higher level visit furnished by the billing practitioner, that higher level visit code should be billed and the specimen collection would not be separately payable. Physicians can bill for services provided by pharmacists incident to their professional services consistent with requirements under 42 CFR 410.26 and state scope of practice and license requirements. The specimen collection codes (which do not include CPT code 99211) are only active during the PHE. New 6/19/20