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Recent changes in applicable law, regulations and interpretations may not be reflected in the information contained herein.
For technical questions, please contact CodeMap.
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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
BD SARS-CoV-2 Reagents for BD MAX™ System
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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
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$ 51.31 |
N/A
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BD Respiratory Viral Panel for BD MAX™ System
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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
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BD Veritor™ System for the Rapid Detection of SARS-CoV-2
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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
|
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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
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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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equipment or devices, including but not limited to, any billing and/or coding errors. Website users rely on
the information contained in this website at their own risk and should check with the individual Medicare contractors
to verify coverage, coding and payment.
The information contained in this website has been compiled by CodeMap, L.L.C. to assist Becton, Dickinson and Company customers.
CodeMap, L.L.C. remains solely responsible for its content. The information provided is for general educational
purposes only and may not be conclusive or exhaustive. Recent changes in applicable law, regulations and interpretations
may not be reflected in the information contained herein. For technical questions, please contact CodeMap at (847) 381-5465.
CodeMap® has made every reasonable effort to ensure the accuracy of the information contained on
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provider of services. CodeMap® makes no representation, warranty, or guarantee that this compilation of Medicare information
is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims.
Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.
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CPT copyright 2024 American Medical Association. All rights reserved.
02/05/2025 06:03:11 3.145.102.112
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