First Coast – COVID-19: Allowances for Laboratory Test Codes
May 11, 2022CMS has established new codes for laboratory tests for the novel coronavirus (COVID-19). CMS provided pricing for codes U0001 and U0002, but instructed MACs to develop the allowance for the remaining codes. Those codes and allowances are below:
Codes U0003 and U0004 were removed from this list; they were added to the clinical laboratory fee schedule (CLFS) January 1, as was code U0005.
| Code | Allowance |
|---|---|
| U0001 | $35.92 |
| U0002 | $51.31 |
| 0202U | $416.78 |
| 0223U | $416.78 |
| 0224U | $42.13 |
| 0225U | $416.78 |
| 0226U | $42.28 |
| 0240U | $142.63 |
| 0241U | $142.63 |
| 86408 | $42.13 |
| 86409 | $105.33 |
| 86413 | $42.13 |
| 87426 | $45.23 |
| 87428 | $73.49 |
| 87635 | $51.31 |
| 87636 | $142.63 |
| 87637 | $142.63 |
| 87811 | $41.38 |
| 87913 | $257.45 |