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Medicaid CT – Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes

October 4, 2021

Provider Bulletin 2021-75

Effective for dates of service listed below until the Department of Social Services (DSS) declares COVID-19 to no longer be a public health emergency, the reimbursement for the following clinical diagnostic laboratory services is being updated retroactive to the dates as listed below to 100% of the Medicare rate:

87428 Sarscov & inf vir a&b ag ia current rate $11.45, new rate $63.59 effective 1/1/2021

87811 Sars-cov-2 covid19 w/optic current rate $11.45, new rate $41.38 effective 10/6/2020

86413 Sars-cov-2 antb quantitative current rate $14.32, new rate $51.43 effective 9/8/2020

86769 Sars-cov-2 covid-19 antibody current rate $45.13, new rate $42.13 effective 3/13/2020

Source: https://www.ctdssmap.com/CTPortal/Information/Get Download File/tabid/44/Default.aspx?Filename=pb21_75.pdf&URI=Bulletins/pb21_75.pdf

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