Search form

Support & Training

Reimbursement

This information is being provided as a reference, for informational purposes only, with no expressed or implied warranty and does not purport to provide legal or certified coding advice. It is the sole responsibility of the health care provider of service to verify reimbursement policies and select the appropriate CPT® and ICD-9-CM codes to accurately reflect patient condition(s) and testing procedure(s). Any review, retransmission, dissemination or other use of this information by persons or entities other than the intended recipient is prohibited.

For reimbursement support, please contact Quidel at 800.874.1517 Option 2,or e-mail technicalsupport@quidel.com.

Select a resource based on your product and reimbursement needs:

  Product(s) CMS Allowable
  Sofia QuickVue MicroVue DHI National
PDF 1-Pager  
QCodes QCodes

QCodes

Bone Health
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
82308 1 MicroVue Calcitonin

MicroVue Calcitonin

Bone Health

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
82308 Calcitonin

Long descriptor:

Assay of Calcitonin

1 Alabama 36.54
82523 1 MicroVue™ DPD

MicroVue™ DPD

Bone Health

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
82523 DPD crosslinks

Long descriptor:

Collagen cross links, any method

1 Alabama 13.11
82523 1 MicroVue™ PYD

MicroVue™ PYD

Bone Health

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
82523 PYD crosslinks

Long descriptor:

Collagen cross links, any method

1 Alabama 13.11
83970 1 MicroVue™ Intact PTH

MicroVue™ Intact PTH

Bone Health

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
83970 Intact parathyroid hormone (PTH)

Long descriptor:

Assay of parathormone

1 Alabama 56.31
84080 1 MicroVue™ BAP

MicroVue™ BAP

Bone Health

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
84080 Bone-specific alkaline phosphatase (BAP)

Long descriptor:

Phosphatase, alkaline; isoenzymes

1 Alabama 20.17
C.difficile
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
87230 1 Reagents for Cytotoxicity Assay for Clostridium difficile Toxin

Reagents for Cytotoxicity Assay for Clostridium difficile Toxin

C.difficile

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87230 C. difficile toxin assay

Long descriptor:

Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)

1 Alabama 19.04
87493 1 AmpliVue C.difficile Assay

AmpliVue C.difficile Assay

C.difficile

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87493 C.difficile assay, first reported result

Long descriptor:

Infectious agent detection by nucleic acid (DNA or RNA): Clostridium difficile, toxin geneis), amplified probe technique.

1 Alabama 30.76
Chlamydia
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
87110 1 D³ DFA Chlamydiae Culture Confirmation Kit

D³ DFA Chlamydiae Culture Confirmation Kit

Chlamydia

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87110 Chlamydia, culture

Long descriptor:

Culture, chlamydia, any source

1 Alabama 14.25
87140 1 D³ DFA Chlamydiae Culture Confirmation Kit

D³ DFA Chlamydiae Culture Confirmation Kit

Chlamydia

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87140 Culture identification (typing) by immunofluorescence, first reported result

Long descriptor:

Culture, typing; immunofluorescent method, each antiserum

1 Alabama 7.61
87810 1 QuickVue® Chlamydia Test

QuickVue® Chlamydia Test

Chlamydia

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87810 Chlamydia immunoassay

Long descriptor:

Infectious agent antigen detection by immunoassay with direct optical observation; Chlamydia trachomatis

1 Alabama 14.86
Complement
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
86161 1 MicroVue™ C1-Inhibitor Plus

MicroVue™ C1-Inhibitor Plus

Complement

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
86161 Functional C1-Inhibitor protein

Long descriptor:

Complement; functional activity, each component

1 Alabama 16.38
86161 1 MicroVue™ CIC-C1q

MicroVue™ CIC-C1q

Complement

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
86161 Circulating immune complexes (CIC) binding C1q purified protein

Long descriptor:

Complement; functional activity, each component

1 Alabama 16.38
86161 1 MicroVue™ CIC-Raji

MicroVue™ CIC-Raji

Complement

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
86161 Circulating immune complexes (CIC) containing C3 fragments

Long descriptor:

Complement; functional activity, each component

1 Alabama 16.38
86161 1 MicroVue™ Bb Plus

MicroVue™ Bb Plus

Complement

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
86161 Complement fragment Bb

Long descriptor:

Complement; functional activity, each component

1 Alabama 16.38
86162 1 MicroVue™ CH50-Eq

MicroVue™ CH50-Eq

Complement

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
86162 Total classical complement pathway activity

Long descriptor:

Complement; total hemolytic (CH50)

1 Alabama 27.72
Enterovirus
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
87254 1 D³ IFA Enterovirus Identification Kit

D³ IFA Enterovirus Identification Kit

Enterovirus

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 Shell vial or multi-well plate culture with immunofluorescence, first reported result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

1 Alabama 26.68
Fecal Occult Blood
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
82274 1 QuickVue® iFOB (immunochemical Fecal Occult Blood) Test

QuickVue® iFOB (immunochemical Fecal Occult Blood) Test

Fecal Occult Blood

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
82274 Immunochemical FOBT

Long descriptor:

Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations

1 Alabama 21.70
82274 1 QuickVue® iFOB (immunochemical Fecal Occult Blood) Test

QuickVue® iFOB (immunochemical Fecal Occult Blood) Test

Fecal Occult Blood

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
82274 Immunochemical FOBT

Long descriptor:

Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations

1 Alabama 21.70
82274 QW 1 QuickVue® iFOB (immunochemical Fecal Occult Blood) Test

QuickVue® iFOB (immunochemical Fecal Occult Blood) Test

Fecal Occult Blood

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
82274 QW Immunochemical FOBT

Long descriptor:

Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations

1 Alabama 21.70
G0328 QW 1 QuickVue® iFOB (immunochemical Fecal Occult Blood) Test

QuickVue® iFOB (immunochemical Fecal Occult Blood) Test

Fecal Occult Blood

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
G0328 QW Immunochemical FOBT

Long descriptor:

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous determinations

1 Alabama 21.70
H.pylori
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
86318 1 QuickVue® H. pylori Test

QuickVue® H. pylori Test

H.pylori

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
86318 H. pylori Serum/Plasma

Long descriptor:

Immunoassay for infectious agent antibody, qualitative or semiquantitative, single step method (eg, reagent strip)

1 Alabama 17.66
86318 QW 1 QuickVue® H. pylori Test

QuickVue® H. pylori Test

H.pylori

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
86318 QW H. pylori Whole Blood

Long descriptor:

Immunoassay for infectious agent antibody, qualitative or semiquantitative, single step method (eg, reagent strip)

1 Alabama 17.66
Herpes
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
87140 1 ELVIS® HSV Identification and D³ Typing Test System

ELVIS® HSV Identification and D³ Typing Test System

Herpes

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87140 Culture identification (HSV-2 typing) by immunofluorescence, first reported result

Long descriptor:

Culture, typing; immunofluorescent method, each antiserum

1 Alabama 7.61
87140 59 1 ELVIS® HSV Identification and D³ Typing Test System

ELVIS® HSV Identification and D³ Typing Test System

Herpes

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87140 59 Culture identification (HSV-1 typing) by immunofluorescence, each subsequent result

Long descriptor:

Culture, typing; immunofluorescent method, each antiserum

1 Alabama 7.61
87254 1 D³ DFA Herpes Simplex Virus Identification Kit

D³ DFA Herpes Simplex Virus Identification Kit

Herpes

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 Shell vial or multi-well plate culture with immunofluorescence, first reported result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

1 Alabama 26.68
87254 1 D³ DFA Herpes Simplex Virus Identification and Typing Kit

D³ DFA Herpes Simplex Virus Identification and Typing Kit

Herpes

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 Shell vial or multi-well plate culture with immunofluorescence, first reported result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

1 Alabama 26.68
87254 1 D³ DFA Cytomegalovirus Immediate Early Antigen Identification Kit

D³ DFA Cytomegalovirus Immediate Early Antigen Identification Kit

Herpes

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 Shell vial or multi-well plate culture with immunofluorescence, first reported result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

1 Alabama 26.68
87254 1 D³ DFA Varicella-zoster Virus Identification Kit

D³ DFA Varicella-zoster Virus Identification Kit

Herpes

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 Shell vial or multi-well plate culture with immunofluorescence, first reported result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

1 Alabama 26.68
87254 59 1 D³ DFA Herpes Simplex Virus Identification and Typing Kit

D³ DFA Herpes Simplex Virus Identification and Typing Kit

Herpes

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 59 Shell vial or multi-well plate culture with immunofluorescence, each subsequent result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

1 Alabama 26.68
87255 1 ELVIS® HSV Identification Test System

ELVIS® HSV Identification Test System

Herpes

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87255 ELVIS culture

Long descriptor:

Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)

1 Alabama 40.08
87255 1 ELVIS® HSV Identification and D³ Typing Test System

ELVIS® HSV Identification and D³ Typing Test System

Herpes

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87255 ELVIS culture

Long descriptor:

Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)

1 Alabama 40.08
Mononucleosis
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
86308 1 QuickVue®+ Mononucleosis Test

QuickVue®+ Mononucleosis Test

Mononucleosis

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
86308 Mononucleosis Serum/Plasma

Long descriptor:

Heterophile antibodies; screening

1 Alabama 7.06
86308 QW 1 QuickVue®+ Mononucleosis Test

QuickVue®+ Mononucleosis Test

Mononucleosis

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
86308 QW Mononucleosis Whole Blood

Long descriptor:

Heterophile antibodies; screening

1 Alabama 7.06
Pregnancy
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
81025 1 QuickVue® hCG Urine Test

QuickVue® hCG Urine Test

Pregnancy

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
81025 hCG Urine

Long descriptor:

Urine pregnancy test, by visual color comparison methods

1 Alabama 3.47
81025 1 QuickVue® hCG Combo Test

QuickVue® hCG Combo Test

Pregnancy

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
81025 hCG Urine

Long descriptor:

Urine pregnancy test, by visual color comparison methods

1 Alabama 3.47
81025 1 QuickVue®+ hCG Combo Test

QuickVue®+ hCG Combo Test

Pregnancy

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
81025 hCG Urine

Long descriptor:

Urine pregnancy test, by visual color comparison methods

1 Alabama 3.47
81025 1 RapidVue® hCG Test

RapidVue® hCG Test

Pregnancy

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
81025 hCG Urine

Long descriptor:

Urine pregnancy test, by visual color comparison methods

1 Alabama 3.47
84703 1 QuickVue® hCG Combo Test

QuickVue® hCG Combo Test

Pregnancy

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
84703 hCG Serum

Long descriptor:

Gonadotropin, chorionic (hCG); qualitative

1 Alabama 7.91
84703 1 QuickVue®+ hCG Combo Test

QuickVue®+ hCG Combo Test

Pregnancy

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
84703 hCG Serum

Long descriptor:

Gonadotropin, chorionic (hCG); qualitative

1 Alabama 7.91
Respiratory
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
87254 1 D³ DFA Metapneumovirus Identification Kit

D³ DFA Metapneumovirus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 Shell vial or multi-well plate culture with immunofluorescence, first reported result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

1 Alabama 26.68
87254 1 D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 Shell vial or multi-well plate culture with immunofluorescence, first reported result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

1 Alabama 26.68
87254 1 D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 Shell vial or multi-well plate culture with immunofluorescence, first reported result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

1 Alabama 26.68
87254 1 D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 Shell vial or multi-well plate culture with immunofluorescence, first reported result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

1 Alabama 26.68
87254 59 6 D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 59 Shell vial or multi-well plate culture with immunofluorescence, each subsequent result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

6 Alabama 26.68
87254 59 6 D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 59 Shell vial or multi-well plate culture with immunofluorescence, each subsequent result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

6 Alabama 26.68
87254 59 6 D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87254 59 Shell vial or multi-well plate culture with immunofluorescence, each subsequent result

Long descriptor:

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

6 Alabama 26.68
87260 1 D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87260 Adenovirus direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; adenovirus

1 Alabama 14.86
87260 1 D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87260 Adenovirus direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; adenovirus

1 Alabama 14.86
87260 1 D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87260 Adenovirus direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; adenovirus

1 Alabama 14.86
87260 1 D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87260 Adenovirus direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; adenovirus

1 Alabama 14.86
87275 1 D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87275 Influenza B direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza B virus

1 Alabama 14.86
87275 1 D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87275 Influenza B direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza B virus

1 Alabama 14.86
87275 1 D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87275 Influenza B direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza B virus

1 Alabama 14.86
87275 1 D³ FastPoint™ L-DFA Influenza A/Influenza B Virus Identification Kit

D³ FastPoint™ L-DFA Influenza A/Influenza B Virus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87275 Influenza B direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza B virus

1 Alabama 14.86
87275 1 D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87275 Influenza B direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza B virus

1 Alabama 14.86
87276 1 D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87276 Influenza A direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza A virus

1 Alabama 14.86
87276 1 D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87276 Influenza A direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza A virus

1 Alabama 14.86
87276 1 D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87276 Influenza A direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza A virus

1 Alabama 14.86
87276 1 D³ FastPoint™ L-DFA Influenza A/Influenza B Virus Identification Kit

D³ FastPoint™ L-DFA Influenza A/Influenza B Virus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87276 Influenza A direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza A virus

1 Alabama 14.86
87276 1 D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87276 Influenza A direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza A virus

1 Alabama 14.86
87279 1 D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87279 Parainfluenza direct specimen; detection with immunofluorescence, each type

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type

1 Alabama 14.86
87279 1 D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87279 Parainfluenza direct specimen; detection with immunofluorescence, each type

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type

1 Alabama 14.86
87279 1 D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87279 Parainfluenza direct specimen; detection with immunofluorescence, each type

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type

1 Alabama 14.86
87279 59 2 D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87279 59 Parainfluenza direct specimen; detection with immunofluorescence, each type

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type

2 Alabama 14.86
87279 59 2 D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87279 59 Parainfluenza direct specimen; detection with immunofluorescence, each type

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type

2 Alabama 14.86
87279 59 2 D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87279 59 Parainfluenza direct specimen; detection with immunofluorescence, each type

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type

2 Alabama 14.86
87280 1 D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87280 RSV direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus

1 Alabama 14.86
87280 1 D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87280 RSV direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus

1 Alabama 14.86
87280 1 D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87280 RSV direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus

1 Alabama 14.86
87280 1 D³ FastPoint™ L-DFA RSV/MPV Virus Identification Kit

D³ FastPoint™ L-DFA RSV/MPV Virus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87280 RSV direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus

1 Alabama 14.86
87280 1 D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87280 RSV direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus

1 Alabama 14.86
87299 1 D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87299 Unspecified organism (MPV) direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism

1 Alabama 14.86
87299 1 D³ FastPoint™ L-DFA RSV/MPV Virus Identification Kit

D³ FastPoint™ L-DFA RSV/MPV Virus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87299 Unspecified organism (MPV) direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism

1 Alabama 14.86
87299 1 D³ DFA Metapneumovirus Identification Kit

D³ DFA Metapneumovirus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87299 Unspecified organism (MPV) direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism

1 Alabama 14.86
87300 1 D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

D³ Duet™ DFA Influenza A/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87300 Multiple organism pool (respiratory virus screen) direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum

1 Alabama 14.86
87300 1 D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

D³ Duet™ DFA RSV/Respiratory Virus Screening Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87300 Multiple organism pool (respiratory virus screen) direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum

1 Alabama 14.86
87300 1 D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

D³ FastPoint™ L-DFA Respiratory Virus Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87300 Multiple organism pool (PIV 1,2,3) direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum

1 Alabama 14.86
87300 1 D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

D³ Ultra™ DFA Respiratory Virus Screening and Identification Kit

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87300 Multiple organism pool (respiratory virus screen) direct specimen; detection with immunofluorescence

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum

1 Alabama 14.86
87502 1 Lyra Influenza A+B Assay

Lyra Influenza A+B Assay

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87502 Influenza realtime RT-PCR assay, first reported result

Long descriptor:

Infectious agent detection by nucleic acid (DNA or RNA), influeza virus, for multiple types or sub-types, multiplex reverse transcription and amplified probe technique, first 2 types or sub-types.

1 Alabama 66.87
87502 59 1 Lyra Influenza A+B Assay

Lyra Influenza A+B Assay

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87502 59 Influenza realtime RT-PCR assay, each subsequent result

Long descriptor:

Infectious agent detection by nucleic acid (DNA or RNA), influeza virus, for multiple types or sub-types, multiplex reverse transcription and amplified probe technique, first 2 types or sub-types.

1 Alabama 66.87
87798 QW 1 Lyra RSV + hMPV Assay

Lyra RSV + hMPV Assay

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87798 QW hMPV real time RT-PCR assay, first reported result

Long descriptor:

Infectious antigen detection by nucleic acid (DNA or RNA), amplified probe technique, each organism.

1 Alabama 30.76
87804 1 Sofia® Influenza A+B FIA

Sofia® Influenza A+B FIA

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87804 Influenza A direct specimen

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza A virus

1 Alabama 14.86
87804 QW 1 QuickVue® Influenza Test

QuickVue® Influenza Test

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87804 QW Influenza immunoassay, first reported result

Long descriptor:

Infectious agent antigen detection by immunoassay with direct optical observation; Influenza

1 Alabama 14.86
87804 QW 1 QuickVue® Influenza A+B Test

QuickVue® Influenza A+B Test

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87804 QW Influenza immunoassay, first reported result

Long descriptor:

Infectious agent antigen detection by immunoassay with direct optical observation; Influenza

1 Alabama 14.86
87804 QW,59 1 QuickVue® Influenza A+B Test

QuickVue® Influenza A+B Test

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87804 QW,59 Influenza immunoassay, each subsequent result

Long descriptor:

Infectious agent antigen detection by immunoassay with direct optical observation; Influenza

1 Alabama 14.86
87804-59 1 Sofia® Influenza A+B FIA

Sofia® Influenza A+B FIA

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87804-59 Influenza B direct specimen

Long descriptor:

Infectious agent antigen detection by immunofluorescent technique; influenza B virus

1 Alabama 14.86
87807 1 QuickVue® RSV10 Test

QuickVue® RSV10 Test

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87807 RSV immunoassay

Long descriptor:

Infectious agent antigen detection by immunoassay with direct optical observation; respiratory syncytial virus

1 Alabama 14.86
87807 QW 1 QuickVue® RSV Test

QuickVue® RSV Test

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87807 QW RSV immunoassay

Long descriptor:

Infectious agent antigen detection by immunoassay with direct optical observation; respiratory syncytial virus

1 Alabama 14.86
87880 1 Sofia® Strep A FIA

Sofia® Strep A FIA

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87880 Strep A immunoassay

Long descriptor:

Infectious agent antigen detection by immunoassay with fluorescence observation; streptococcus, group A

1 Alabama 14.86
87880 1 QuickVue®+ Strep A Test

QuickVue®+ Strep A Test

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87880 Strep A immunoassay

Long descriptor:

Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A

1 Alabama 14.86
87880 QW 1 QuickVue® Dipstick Strep A Test

QuickVue® Dipstick Strep A Test

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87880 QW Strep A immunoassay

Long descriptor:

Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A

1 Alabama 14.86
87880 QW 1 QuickVue In-Line® Strep A Test

QuickVue In-Line® Strep A Test

Respiratory

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
87880 QW Strep A immunoassay

Long descriptor:

Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A

1 Alabama 14.86
Thyroid
CPT¹
Modifier(s)²⁺³
Units (per results reported)
Product
84445 1 Thyretain® TSI Reporter BioAssay

Thyretain® TSI Reporter BioAssay

Thyroid

CPT¹ Modifier(s)²⁺³ Descriptor(s) Units (per results reported) Locale CMS Limit⁴
84445 Thyroid stimulating immune globulins (TSI)

Long descriptor:

Thyroid stimulating immune globulins (TSI)

1 Alabama 69.38