CPT Category I and Proprietary Laboratory Analyses (PLA ...

1 CPT Category I and Proprietary Laboratory Analyses (PLA) Codes for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) 1 CPT Copyright 2022 American Medical Association. All rights reserved. AMA and CPT are registered trademarks of the American Medical Association. Updated February 21, 2022 Most recent changes to this short descriptor document: Addition of 1 new code (87913) accepted by the CPT Editorial Panel. Deleted codes in this document appear with a strikethrough. It is important to note that further CPT Editorial Panel or Executive Committee actions may affect these codes and/or descriptors. For this reason, code numbers and/or descriptor language in the CPT code set may differ at the time of publication. In addition, further Panel actions may result in gaps in code number sequencing. The following code was accepted at the March 2020 CPT Editorial Panel meeting for the 2021 CPT production cycle.

2 This code is effective immediately on March 13, 2020. Code Short Code Descriptor Released to AMA website Effective Publication 87635 SARS-COV-2 COVID-19 AMP PRB March 13, 2020 March 13, 2020 CPT 2021 The following codes were accepted and revised at the April 2020 CPT Editorial Panel meeting for the 2021 CPT production cycle. These codes are effective immediately on April 10, 2020. 86318 IMMUNOASSAY INFECTIOUS AGENT ANTIBODY April 10, 2020 April 10, 2020 CPT 2021 # 86328 IA NFCT AB SARSCOV2 COVID19 April 10, 2020 April 10, 2020 CPT 2021 86769 SARS-COV-2 COVID-19 ANTIBODY April 10, 2020 April 10, 2020 CPT 2021 The following code was accepted by the Executive Committee of the CPT Editorial Panel. This code is effective immediately on June 25, 2020. 87426 CORONAVIRUS AG IA June 25, 2020 June 25, 2020 CPT 2022 The following codes were accepted by the CPT Editorial Panel. These codes are effective immediately on August 10, 2020.

3 # 86408 NEUTRLZG ANTB SARSCOV2 SCR August 10, 2020 August 10, 2020 CPT 2022 CPT Category I and Proprietary Laboratory Analyses (PLA) Codes for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) 2 CPT Copyright 2022 American Medical Association. All rights reserved. AMA and CPT are registered trademarks of the American Medical Association. Updated February 21, 2022 # 86409 NEUTRLZG ANTB SARSCOV2 TITER August 10, 2020 August 10, 2020 CPT 2022 The following codes were accepted by the CPT Editorial Panel. These codes are effective immediately on September 8, 2020. # 86413 SARS-COV-2 ANTB QUANTITATIVE September 8, 2020 September 8, 2020 CPT 2022 99072 ADDL SUPL MATRL&STAF TM PHE September 8, 2020 September 8, 2020 CPT 2022 The following codes were accepted, revised, and deleted by the CPT Editorial Panel. These codes are effective immediately on October 6, 2020.

4 87301 ADENOVIRUS AG IA October 6, 2020 October 6, 2020 CPT 2022 87305 ASPERGILLUS AG IA October 6, 2020 October 6, 2020 CPT 2022 87320 CHYLMD TRACH AG IA October 6, 2020 October 6, 2020 CPT 2022 87324 CLOSTRIDIUM AG IA October 6, 2020 October 6, 2020 CPT 2022 87327 CRYPTOCOCCUS NEOFORM AG IA October 6, 2020 October 6, 2020 CPT 2022 87328 CRYPTOSPORIDIUM AG IA October 6, 2020 October 6, 2020 CPT 2022 87329 GIARDIA AG IA October 6, 2020 October 6, 2020 CPT 2022 CPT Category I and Proprietary Laboratory Analyses (PLA) Codes for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) 3 CPT Copyright 2022 American Medical Association. All rights reserved. AMA and CPT are registered trademarks of the American Medical Association. Updated February 21, 2022 87332 CYTOMEGALOVIRUS AG IA October 6, 2020 October 6, 2020 CPT 2022 87335 E COLI 0157 AG IA October 6, 2020 October 6, 2020 CPT 2022 87336 ENTAMOEB HIST DISPR AG IA October 6, 2020 October 6, 2020 CPT 2022 87337 ENTAMOEB HIST GROUP AG IA October 6, 2020 October 6, 2020 CPT 2022 87338 HPYLORI STOOL AG IA October 6, 2020 October 6, 2020 CPT 2022 87339 H PYLORI AG IA October 6, 2020 October 6, 2020 CPT 2022 87340 HEPATITIS B SURFACE AG IA October 6, 2020 October 6, 2020 CPT 2022 87341 HEPATITIS B SURFACE AG IA October 6, 2020 October 6, 2020 CPT 2022 87350 HEPATITIS BE AG IA October 6, 2020 October 6, 2020 CPT 2022 87380 HEPATITIS DELTA AGENT AG IA October 6, 2020 October 6, 2020 CPT 2022 CPT Category I and Proprietary Laboratory Analyses (PLA) Codes for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])

5 4 CPT Copyright 2022 American Medical Association. All rights reserved. AMA and CPT are registered trademarks of the American Medical Association. Updated February 21, 2022 87385 HISTOPLASMA CAPSUL AG IA October 6, 2020 October 6, 2020 CPT 2022 87389 HIV-1 AG W/HIV-1 & HIV-2 AB AG IA October 6, 2020 October 6, 2020 CPT 2022 87390 HIV-1 AG IA October 6, 2020 October 6, 2020 CPT 2022 87391 HIV-2 AG IA October 6, 2020 October 6, 2020 CPT 2022 87400 INFLUENZA A/B EACH AG IA October 6, 2020 October 6, 2020 CPT 2022 87420 RESP SYNCYTIAL VIRUS AG IA October 6, 2020 October 6, 2020 CPT 2022 87425 ROTAVIRUS AG IA October 6, 2020 October 6, 2020 CPT 2022 87426 SARSCOV CORONAVIRUS AG IA Revised Code Added to AMA Website October 6, 2020 Revised Code Effective October 6, 2020 Revised Code Publication CPT 2022 87427 SHIGA-LIKE TOXIN AG IA October 6, 2020 October 6, 2020 CPT 2022 87430 STREP A AG IA October 6, 2020 October 6, 2020 CPT 2022 87449 AG DETECT NOS EACH ORGANISM AG IA MULT October 6, 2020 October 6.

6 2020 CPT 2022 CPT Category I and Proprietary Laboratory Analyses (PLA) Codes for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) 5 CPT Copyright 2022 American Medical Association. All rights reserved. AMA and CPT are registered trademarks of the American Medical Association. Updated February 21, 2022 87450 AG DETECT NOS IA SINGLE October 6, 2020 October 6, 2020 CPT 2022 87451 AG DETECT POLYVALENT IA MULT ORG EA AG IA October 6, 2020 October 6, 2020 CPT 2022 87636 SARSCOV2 & INF A&B AMP PRB October 6, 2020 October 6, 2020 CPT 2022 87637 SARSCOV2&INF A&B&RSV AMP PRB October 6, 2020 October 6, 2020 CPT 2022 87802 STREP B ASSAY W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 87803 CLOSTRIDIUM TOXIN A W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 # 87806 HIV ANTIGEN W/HIV1&2 ANTBIBODIES W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 87804 INFLUENZA ASSAY W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 87807 RSV ASSAY W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 # 87811 SARS-COV-2 COVID19 W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 CPT Category I and Proprietary Laboratory Analyses (PLA) Codes for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2)

7 (coronavirus disease [COVID-19]) 6 CPT Copyright 2022 American Medical Association. All rights reserved. AMA and CPT are registered trademarks of the American Medical Association. Updated February 21, 2022 87808 TRICHOMONAS ASSAY W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 87809 ADENOVIRUS ASSAY W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 87810 CHYLMD TRACH ASSAY W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 87850 N. GONORRHOEAE ASSAY W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 87880 STREP A ASSAY W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 87899 AGENT NOS ASSAY W/OPTIC October 6, 2020 October 6, 2020 CPT 2022 The following code was accepted by the CPT Editorial Panel. *Note that resequenced code 87428 will follow code 87426 and is effective immediately on November 10, 2020. # 87428 SARSCOV & INF VIR A&B AG IA November 10, 2020 November 10, 2020 CPT 2022 The following code was accepted by the CPT Editorial Panel.

8 *Note that resequenced code 87913 will follow code 87902 and is effective February 21, 2022. # 87913 NFCT AGT GNTYP ALYS SARSCOV2 February 21, 2022 February 21, 2022 CPT 2023 The following code was accepted by the Executive Committee of the CPT Editorial Panel for the 2021 CPT production cycle. This code is effective immediately on May 20, 2020. CPT Category I and Proprietary Laboratory Analyses (PLA) Codes for severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) 7 CPT Copyright 2022 American Medical Association. All rights reserved. AMA and CPT are registered trademarks of the American Medical Association. Updated February 21, 2022 Proprietary Name and Clinical Laboratory or Manufacturer Code Short Code Descriptor Released to AMA Website Effective Date Publication BioFire respiratory Panel ( ), BioFire Diagnostics, BioFire Diagnostics, LLC 0202U NFCT DS 22 TRGT SARS-COV-2 May 20, 2020 May 20, 2020 CPT 2021 Duplicate PLA Symbol Added to Publication CPT 2022 The following codes were accepted by the Executive Committee of the CPT Editorial Panel.

9 These codes are effective immediately on June 25, 2020. QIAstat-Dx respiratory SARS CoV-2 Panel, QIAGEN Sciences, QIAGEN GmbH 0223U NFCT DS 22 TRGT SARS-COV-2 June 25, 2020 June 25, 2020 CPT 2022 COVID-19 Antibody Test, Mt Sinai, Mount Sinai Laboratory 0224U ANTIBODY SARS-COV-2 TITER(S) June 25, 2020 June 25, 2020 CPT 2022 The following codes were accepted by CPT Editorial Panel. These codes are effective immediately on August 10, 2020. ePlex respiratory Pathogen Panel 2, GenMark Dx, GenMark Diagnostics, Inc 0225U NFCT DS DNA&RNA 21 SARSCOV2 August 10, 2020 August 10, 2020 CPT 2022 Tru-ImmuneTM, Ethos Laboratories, GenScript USA Inc 0226U SVNT SARSCOV2 ELISA PLSM SRM August 10, 2020 August 10, 2020 CPT 2022 The following codes were accepted by CPT Editorial Panel. These codes are effective immediately on October 6, 2020. Xpert Xpress SARS-CoV-2/Flu/RSV (SARS-CoV-2 & Flu targets only), Cepheid 0240U NFCT DS VIR RESP RNA 3 TRGT October 6, 2020 October 6, 2020 CPT 2022 Xpert Xpress SARS-CoV-2/Flu/RSV (all targets), Cepheid 0241U NFCT DS VIR RESP RNA 4 TRGT October 6, 2020 October 6, 2020 CPT 2022