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COVID-19

Appropriate Testing for Pharyngitis (CWP)

Answer the questions to confirm eligibility and compliance criteria, this is applicable to Medicaid and Commercial members only.

After you've completed a clinical assessment for a patient that has acute sore throat, does patient* show signs and symptoms of Group A Streptococcal Pharyngitis?

Rapid Antigen Test**

Symptomatic Treatment Only

Billing Codes

  • CPT 87070 87071 87081 87430 87650 87651 87652 87880

    LOINC 11268-0 17656-0 17898-8 18481-2 31971-5 49610-9 5036-9 60489-2 626-2 6557-3 6558-1 6559-9 68954-7 78012-2

    SNOMED CT US Edition 122121004 122205003 122303007

    • Aminopenicillins: Amoxicillin, Ampicillin
    • Beta-lactamase inhibitors: Amoxicillin-clavulanate
    • First generation cephalosporins: Cefadroxil, Cefazolin, Cephalexin
    • Folate antagonist: Trimethoprim
    • Lincomycin derivatives: Clindamycin
    • Macrolides: Azithromycin, Clarithromycin, Erythromycin
    • Natural penicillins: Penicillin G potassium, Penicillin G sodium, Penicillin V potassium, Penicillin G benzathine
    • Quinolones: Ciprofloxacin, Levofloxacin, Moxifloxacin, Ofloxacin
    • Second generation cephalosporins: Cefaclor, Cefprozil, Cefuroxime
    • Sulfonamides: Sulfamethoxazole-trimethoprim
    • Tetracyclines: Doxycycline, Minocycline, Tetracycline
    • Third generation cephalosporins: Cefdinir, Cefixime, Cefpodoxime, Ceftibuten, Cefditoren, Ceftriaxone

Antibiotic and Symptomatic Treatment