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Wiki Covid testing sofia 2 sars antigen

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We have a provider using the new rapid test “ Sofia 2 SARS Antigen” test the manufacturer website shows cpt code as pending. Is it appropriate to bill using hicpic U0002 testing by any technique.
 
We have a provider using the new rapid test “ Sofia 2 SARS Antigen” test the manufacturer website shows cpt code as pending. Is it appropriate to bill using hicpic U0002 testing by any technique.


This is a great question!!

Per Medicare Guidance:

Question: What code should we use to bill Medicare if new types of COVID-19 tests are created in the future? Answer: The appropriate code to use would be HCPCS Code U0002 for COVID-19 test methods that are not specified by either U0001 or 87635. CMS will continue to monitor the types of COVID-19 testing methods and adjust coding as necessary depending on the methodology.

Per the FDA:

According to the FDA, positive results from antigen tests are highly accurate, but there is a higher chance of false negatives, so negative results do not rule out infection. Therefore, negative results from an antigen test may need to be confirmed with a PCR test.

Hope that this helps!
 

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This is a great question!!

Per Medicare Guidance:

Question: What code should we use to bill Medicare if new types of COVID-19 tests are created in the future? Answer: The appropriate code to use would be HCPCS Code U0002 for COVID-19 test methods that are not specified by either U0001 or 87635. CMS will continue to monitor the types of COVID-19 testing methods and adjust coding as necessary depending on the methodology.

Per the FDA:

According to the FDA, positive results from antigen tests are highly accurate, but there is a higher chance of false negatives, so negative results do not rule out infection. Therefore, negative results from an antigen test may need to be confirmed with a PCR test.

Hope that this helps!
Thank you Lisa
 
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