Billing Beat

Medicaid CT – The Addition of COVID-19 Proprietary Laboratory Analyses Codes to the Independent Laboratory Fee Schedule

March 7, 2022

Effective for dates of service listed below until the Department of Social Services (DSS) declares COVID-19 to no longer be a public health emergency, the following COVID-19 Proprietary Laboratory Analyses (PLA) codes are being added to the Independent Laboratory fee schedule. Retroactive to the dates listed below, the following PLA codes will be reimbursed 100% of the Medicare rate: 

PLA Code Desc. Rate Eff Date: 

0202U NFCT DS 22 TRGT SARS-COV-2 $416.78 5/20/20 
0223U NFCT DS 22 TRGT SARS-COV-2 $416.78 6/25/20 
0224U ANTIBODY SARS-COV-2 TITER(S) $42.13 6/25/20
0225U NFCT DS DNA&RNA 21SARSCOV 2 $416.78 8/10/20 
0226U SVNT SARSCOV2 ELISA PLSM SRM $42.28 8/10/20 
0240U NFCT DS VIR RESP RNA 3 TRGT $142.63 10/6/20 
0241U NFCT DS VIR RESP RNA 4 TRGT $142.63 10/6/2
 

Source: https://www.ctdssmap.com/CTPortal/Information/Get-Download-File?Filename=pb22_10.pdf&URI=Bulletins/pb22_10.pdf

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