Billing Beat

HIV Testing a Benefit for Presumptive Eligibility

December 24, 2014

Effective for dates of service on or after January 1, 2015, Qualified Providers participating in the Presumptive Eligibility (PE) program may be reimbursed for the following CPT-4 codes:

CPT-4 Code

Description

86702

HIV-2

87389

HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result

87535

HIV-1, amplified probe technique, includes reverse transcription when performed

These services are performed for recipients placed under aid code 7G.

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