Reminder: Select one method for COVID-19 and Influenza Testing

As a reminder, it’s important to submit claims in accordance with correct coding guidelines. Horizon will implement our third quarter code updates on August 20, 2021. These updated guidelines include edits for combination testing for COVID-19 and influenza. When submitting claims that include codes 87636 and 87428, select only one testing method. Per the Centers for Medicare & Medicaid Services’ (CMS) Correct Coding Initiative (CCI) guidelines, we will not reimburse when both testing codes are billed together.