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COVID-19: Allowances for laboratory test codes
Last Modified: 7/15/2022
Location: FL, PR, USVI
Business: Part A, Part B
CMS has established new codes for laboratory tests for the novel coronavirus (COVID-19). CMS provided pricing for codes U0001 and U0002, but instructed MACs to develop the allowance for the remaining codes. Those codes and allowances are below:
Codes U0003 and U0004 were removed from this list; they were added to the clinical laboratory fee schedule (CLFS) January 1, as was code U0005. The 2021 CLFS is available
here 
.
Code |
Allowance |
U0001 |
$35.92 |
U0002 |
$51.31 |
0202U |
$416.78 |
0223U |
$416.78 |
0224U |
$42.13 |
0225U |
$416.78 |
0226U |
$42.28 |
0240U |
$142.63 |
0241U |
$142.63 |
86408 |
$42.13 |
86409 |
$105.33 |
86413 |
$42.13 |
87426 |
$42.03 |
87428 |
$73.49 |
87635 |
$51.31 |
87636 |
$142.63 |
87637 |
$142.63 |
87811 |
$41.38 |
87913 |
$257.45 |
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