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Healthcare-Associated
Infections

Enteric
Infections

Women's Health & Sexually-Transmitted Infections

COVID-19

Point of Care
CodeMap®-BD MAX™ System Reimbursement Information

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Fees Reflect 2025 CMS Medicare Fee Schedules

Fee schedules do not reflect 2% Payment Adjustment (Sequestration).
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BD SARS-CoV-2 Reagents for BD MAX™ System
CPT® Code Description
Medicare Coverage
NATIONAL LIMIT
Medicare Reimbursement
NATIONAL LIMIT
Medicaid Reimbursement
  87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique
  CCI   MUE  
$ 51.31
N/A


BD Respiratory Viral Panel for BD MAX™ System
CPT® Code Description
Medicare Coverage
NATIONAL LIMIT
Medicare Reimbursement
NATIONAL LIMIT
Medicaid Reimbursement
  87637 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique
  CCI   MUE  
$142.63
N/A


BD Veritor™ System for the Rapid Detection of SARS-CoV-2
CPT® Code Description
Medicare Coverage
NATIONAL LIMIT
Medicare Reimbursement
NATIONAL LIMIT
Medicaid Reimbursement
  87426 Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])
  CCI   MUE  
$ 35.33
N/A
  87426-QW
CLIA Waived
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])
  CCI   MUE  
$ 35.33
N/A


BD Veritor™ System for Rapid Detection of SARS-CoV-2 & Flu A+B
CPT® Code Description
Medicare Coverage
NATIONAL LIMIT
Medicare Reimbursement
NATIONAL LIMIT
Medicaid Reimbursement
  87428 Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) and influenza virus types A and B
  CCI   MUE  
$ 70.29
N/A
  87428-QW
CLIA Waived
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) and influenza virus types A and B
  CCI   MUE  
$ 70.29
N/A







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02/05/2025 06:03:11 3.145.102.112