Laboratory Question for the Week of June 12, 2017

Laboratory Compliance Question of the Week


What code(s) is reported for a screening test for HIV infection?


In transmittal 3778 (issued May 24, 2017), the Centers for Medicare & Medicaid Services (CMS) directed contractors to recognize the following HCPCS codes for claims processed on or after October 2, 2017. Note, however, that the effective date of service is April 13, 2015.

G0432 Infectious agent antibody detection by enzyme Immune assay (EIA) technique, qualitative or Semi-quantitative, multiple-step method, HIV-1 or HIV-2, screening
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, antibody,HIV-1 or HIV-2, screening
G0435 Infectious agent antibody detection by rapid antibody test of oral mucosa transudate, HIV-1 or HIV-2, screening. NOTE: Co-insurance and deductible do not apply

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.