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Last Modified: 1/12/2021 Location: FL, PR, USVI Business: Part A, Part B

COVID-19: Allowances for laboratory test codes

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 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 compressed file.

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
$45.23
87428
$73.49
87635
$51.31
87636
$142.63
87637
$142.63
87811
$41.38
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