Medicare Payment Amounts for New COVID-19 Tests. The Centers for Medicare & Medicaid Services (CMS) has established new codes for laboratory tests for the novel coronavirus (COVID-19). CMS provided pricing for codes U0001 and U0002, but instructed Medicare administrative contractors (MACs) to develop the allowance for the remaining code
Codes and Allowances: Medicare Payment Amounts for New COVID-19 Tests
The codes and allowances are as follows:
The following are the national average for the codes. Your Medicare allowable might be slightly different.
| CODE | ALLOWANCE |
|---|---|
| U001 | $35.92 |
| U002 | $51.31 |
| U003 | $100.00 |
| U004 | $100.00 |
| 0202U | $416.78 |
| 0223U | $416.78 |
| 0224U | $42.13 |
| CODE | ALLOWANCE |
|---|---|
| 0225U | $416.78 |
| 0226U | $42.28 |
| 86408 | $42.13 |
| 86409 | $105.33 |
| 86413 | $42.13 |
| 87426 | $45.23 |
| 87635 | $51.31 |
For more information about Medicare Payment Amounts for New COVID-19 Tests visit www.cms.gov/
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