Updated Rate for New COVID-19 Diagnostic Testing CPT Code 87635

Effective for dates of service on or after March 13, 2020, the Centers for Medicare and Medicaid Services (CMS) established Current Procedural Terminology (CPT®) code 87635 (SARS-COV-2 COVID-19 AMP PRB) for COVID-19 diagnostic testing services. When billing, providers may be reimbursed up to $51.31 for these services.

In addition, this code is exempted from the 10 percent payment reductions in Welfare and Institutions Code (W&I Code) section.