Rates for coronavirus serological tests set by CMS

May 20, 2020

On Tuesday, CMS released the long awaited payment rates for two commercial coronavirus serological testing codes published last month by the American Medical Association. Serological testing looks for antibodies against SARS-CoV-2, but not the virus itself.

The agency announced it would pay $42.13 for the multi-step method (86769) and $45.23 for the single-step method (86328).

  • 86328 ($45.23) — Severe acute respiratory syndrome coronavirus (SARS-CoV-2) Coronavirus disease (COVID-19), single-step immunoassay. For antibody testing using the multi-step method, use 86769.
  • 86769 ($42.13) — Antibody; Severe acute respiratory syndrome coronavirus (SARS-CoV-2) Coronavirus disease (COVID-19). For detection of antibodies other than those to infectious agents, see specific antibody or specific method.

Our full breakdown of COVID-19 testing codes can be viewed here.

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