CPT Code

Humana, UnitedHealthcare change Z-code requirements for molecular diagnostic test claims
By LabPulse.com staff writers
Among the tests in focus are certain RNA- and DNA-based tests.
September 19, 2024
Blood Test Samples Lab Social
Cleveland Diagnostics nabs Medicare coverage for test that interrogates PSA structural variants
By LabPulse.com staff writers
In large, prospective multicenter studies of men scheduled for biopsy, IsoPSA demonstrated greater diagnostic accuracy than PSA alone in identifying patients with high-grade cancer
October 13, 2022
Cancer Cells Prostate Social
Menarini Silicon Biosystems liquid biopsy tests issued CPT-PLA codes
By LabPulse.com staff writers
The new CPT PLA codes are Cellsearch Circulating Multiple Myeloma Cell (CMMC) assay - 0337U and Cellsearch HER2 Circulating Tumor Cell (CTC-HER2) assay - 0338U.
October 13, 2022
Research Money Social
Helio Genomics obtains CPT code for liver cancer test
By LabPulse.com staff writers
When it takes effect on October 1, the new CPT PLA code will provide a reimbursement pathway to enable increased access to HelioLiver, according to the vendors.
July 4, 2022
2019 04 26 21 48 5250 Money Hundred Bills 400
Immunovia applies to AMA for PLA code
By LabPulse.com staff writers
The company has touted the results of a study showing that the test detected stage I/II pancreatic ductal adenocarcinoma with 99% specificity and 89% sensitivity.
April 17, 2022
2020 02 14 01 40 9390 Cancer Pancreatic 400
Synaps Dx's Alzheimer's disease test gets payment code
By LabPulse.com staff writers
The Discern test is the first autopsy-validated, minimally invasive test for the definitive diagnosis of Alzheimer's disease versus other forms of non-Alzheimer's disease dementias to earn PLA codes 206U and 207U, Synaps Dx said.
November 8, 2021
2020 03 31 23 03 5810 Brain Dementia Leaves 400
AMA adds new CPT code for COVID-19 antigen tests
By LabPulse.com staff writers
The new code -- 87426 -- is intended for use as the industry standard for reporting and tracking of antigen tests using immunofluorescent or immunochromatographic techniques for the detection of biomolecules produced by the SARS-CoV-2 virus, according to the AMA. The code was approved on June 24 during a special meeting of the CPT Editorial Panel.
June 29, 2020
2020 02 13 19 55 0762 Dollar Sign Green 400
Medicare reimbursement could rev up COVID-19 antibody testing
By LabPulse.com staff writers
ACLA President Julie Khani applauded the reimbursement rate, noting that it will allow labs to expand testing capacity. Two Current Procedural Terminology (CPT) codes may be used to bill for tests conducted after April 10 -- 86769 and 86328, CMS explained in a May 19 statement.
May 19, 2020
2020 03 24 20 53 4672 Dollar Sign Golden 400
MycoDart Aspergillus DNA test gets reimbursement code
By LabPulse.com staff writers
The Carrollton, TX-based company develops tests for people who need rapid detection of infections, such as patients with cancer or AIDS or those who are undergoing transplants. The accuracy of MycoDart's DNA test is up to 95% and results are available within hours, compared with 50% accuracy and results in days for blood cultures, the company noted in a statement about the CPT code.
August 12, 2019
2019 08 13 00 44 4010 Aspergillus Fungus Photomicrograph 400
RenalytixAI kidney disease blood test gets CPT code
By LabPulse.com staff writers
The company expects that the new CPT Proprietary Laboratory Analyses (PLA) code -- 0105U -- will help the U.S. rollout of its lead product enabled by artificial intelligence (AI). A Medicare payment rate for the new code will be developed through the 2019 Clinical Laboratory Fee Schedule process, and RenalytixAI expects that this will take effect at the beginning of 2020.
June 30, 2019
2019 07 01 20 37 2561 Cpt Keyboard 400
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