Updated COVID-19 Testing Fee Schedule

PROVIDER ALERT

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

COVID-19 Testing Fee Schedule
Code Description Rate Valid for Dates of Service on or After
86328 Immunoassay, COVID-19 $45.23 4/10/2020
86769 Antibody, COVID-19 $42.13 4/10/2020
87426 Coronovirus AG IA $51.31 6/25/2020
87635 Infectious agent detection by nucleic acid, COVID-19 $51.31 2/4/2020
U0001 CDC COVID-19 real-time PCR diagnostic panel $35.91 2/4/2020
U0002 COVID-19, any technique, non-CDC $51.31 2/4/2020
U0003 Infectious agent detection by nucleic acid, COVID-19, high throughput $100 3/18/2020
U0004 COVID-19, any technique, non-CDC, high throughput $100 3/18/2020
C9803 Hospital outpatient clinic visit, COVID-19 specimen collection $25.46 3/1/2020
G2023 Specimen collection, COVID-19 $23.46 2/4/2020
G2024 Specimen collection, COVID-19, individual in a SNF $25.46 2/4/2020

 

SCDHHS’ COVID-19 website, www.scdhhs.gov/COVID19 , also includes additional resources for providers including previously released fee schedules 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. Providers should continue to submit questions and feedback regarding COVID-19 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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