Medi-Cal News: CPT Codes 86408 and 86409 for COVID-19 Testing are Medi-Cal Benefits

Effective for dates of service on or after August 10, 2020, CPT^® codes 86408 (neutralizing antibody, severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] [Coronavirus disease (COVID-19)]; screen) and 86409 (neutralizing antibody, severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] [Coronavirus disease (COVID-19)]; titer) for coronavirus disease 2019 (COVID-19) are now Medi-Cal benefits. Codes 86408 and 86409 do not have any gender or age restrictions; have a frequency limit of one per day, any provider, per patient; and may be billed with any ICD-10-CM codes.

An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims. Updated manual pages will be released in a future Medi-Cal Update.

Source: https://files.medi-cal.ca.gov/pubsdoco/newsroom/newsroom_30339_87.aspx