COVID-19 Antibody Testing

By: Woodlands Online | Published 05/27/2020


COVID-19 Antibody Testing

Submit claims for COVID-19 antibody testing to us using the appropriate code. Member cost-share (copay, deductibles and coinsurance) will be waived for antibody tests that are FDA authorized, including tests with EUA during the public health emergency.

Antibody Testing Requirements
Antibody tests must be FDA-authorized, including EUA. Antibody testing should be medically appropriate for the member and ordered by a health care professional. We encourage members to consult with their health care provider to determine the best test clinically indicated for their condition. Refer to the current FDA position on antibody testing.

At-Home Antibody Tests
We cover at-home collection methods for antibody testing if the tests are FDA-authorized and are clinically indicated for the member. We encourage members to consult with their healthcare provider to determine whether the test is medically appropriate for their condition.

COVID-19 Antibody Testing Codes

  • 86318 (revised to indicate immunoassay for infectious agent antibodies; single-step method)
  • 86328 (new for COVID-19; single-step method)
  • 86769 (new for COVID-19; multi-step method)

For more detail on COVID-19 coding and guidance, refer to the American Medical Association website or the Centers for Disease Control and Prevention.

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