Billing and Coding: Respiratory Pathogen Panel Testing

Respiratory pathogen panel testing is covered when performed as a single-panel service in an outpatient Medicare Part B setting using a single biologic specimen on one date of service, provided the results are timely and can influence clinical management to improve outcomes. The panel must be billed as a single unit of service (UOS=1), not unbundled or billed as individual component tests, is not applicable to institutional claim forms, and requires medical record documentation (including patient identifiers, provider signature, and support for ICD-10 and CPT/HCPCS coding).

"Respiratory pathogen panel testing is covered when performed in an outpatient Medicare Part B setting using a single biologic specimen collected and tested on a single date of service, and the resu..."

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