Monday, February 21, 2022

Very Brief Blog: AMA Releases Covid Genotyping Code

On February 21, 2022, AMA CPT announced they were releasing a new COVID lab test code. This is an area of CPT that's been largely dormant since Fall 2020, despite the enormous uptake of COVID testing of  multiple types.

The new code is announced on the CPT COVID webpage here, and found on the PDF here (at page 9).

The code is:

87913, infectious agent genotype analysis by nucleic acid (DNA or RNA), SARS-CoV-2 (COVID-19), mutation identification in targeted regions.

CMS Pricing?

In the past, CMS has rapidly developed local MAC pricing for new COVID lab codes, ensured that all MACs will pay the same local price, and then published that price.    The codes also come into the subsequent annual summer crosswalk/gapfill process, where they've been generally gapfilled at the same price that was initially set.   We'll see what happens with 87913.