Updated Rate for New COVID-19 Diagnostic Testing CPT Code 87635

April 8, 2020

Effective for dates of service on or after March 13, 2020, the Centers for Medicare and Medicaid Services (CMS) established Current Procedural Terminology (CPT®) code 87635 (SARS-COV-2 COVID-19 AMP PRB) for COVID-19 diagnostic testing services. When billing, providers may be reimbursed up to $51.31 for these services.

In addition, this code is exempted from the 10 percent payment reductions in Welfare and Institutions Code (W&I Code) section.