May 29, 2020

State of Alabama
Press Release: Medicaid

Additional Laboratory Testing for Coronavirus (COVID-19)

PDF Version


TO:  Physicians, FQHCs, RHCs, Independent Labs, Hospitals, and ADPH


As Medicaid continues to monitor the outbreak of the Coronavirus Disease 2019 (COVID-19) in Alabama, we are including additional testing procedure codes for coverage.

 

             86328 Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (e.g., reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]).

 

             86769 Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]).

 

Providers may begin submitting claims on June 1, 2020, for dates of service on or afterApril 1, 2020.

 

During the COVID-19 emergency, it is important to file claims as quickly as possible to ensure payment from Medicaid is made to Medicaid providers close to the date of service. The Centers for Medicare and Medicaid Services has increased the federal matching percentage for the emergency time frame, but states can only receive the increased match on claims that are paid during the emergency.

 

If you have questions, please visit the Medicaid website at www.medicaid.alabama.gov , or call the Medicaid Fiscal Agent at 1-800-688-7989.

 

Contacts:

solomon.williams@medicaid.alabama.gov, susan.watkins@medicaid.alabama.gov, or beverly.churchwell@medicaid.alabama.gov

 


The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2020 American Medical Association and © 2020 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.




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