COVID-19 Testing Fee Schedule, Provider FAQ Page Updated

PROVIDER ALERT

The South Carolina Department of Health and Human Services (SCDHHS) has published the fee schedule for coronavirus disease 2019 (COVID-19) testing. The fee schedule is available below and here on SCDHHS’ COVID-19 website.

SCDHHS’ COVID-19 website, www.scdhhs.gov/COVID19, also includes additional resources for providers including the previously released fee schedule for telehealth services, information about federal resources and policy changes, and guidance the agency has issued in preparation and response to the COVID-19 pandemic.

Code Description Rate
  Covid-19Testing Fee Schedule  
86328 Immunoassay, COVID-19 $45.23
86769 Antibody, COVID-19 $42.13
87635 Infectious agent detection by nucleic acid, COVID-19 $51.31
U0001 CDC COVID-19 real-time PCR diagnostic panel $35.91
U0002 COVID-19, any technique, non-CDC $51.31
U0003 Infectious agent detection by nucleic acid, COVID-19, high throughput $100
U0004 COVID-19, any technique, non-CDC, high throughput $100
C9803 Hospital outpatient clinic visit, COVID-19 specimen collection $25.46
G2023 Specimen collection, COVID-19 $23.46
G2024 Specimen collection, COVID-19 individual  $25.46

 

SCDHHS has received a significant amount of input, questions and suggestions from stakeholders regarding how to best serve Medicaid beneficiaries during this pandemic. Providers should continue to submit their questions and feedback to COVID@scdhhs.gov.

Thank you for your continued support of the South Carolina Healthy Connections Medicaid program. SCDHHS looks forward to continuing its partnership with health care providers and all those involved in the health care delivery system to maintain access to the high-value, evidence-based services that are available to Healthy Connections Medicaid members during this unprecedented public health emergency.

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