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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 LOINC SNOMED CT US Edition
    87070, 87071, 87081, 87430, 87650, 87651, 87652, 87880 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 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, Erythromycin ethylsuccinate, Erythromycin lactobionate, Erythromycin stearate
    • Natural penicillins: Penicillin G potassium, Penicillin G sodium, Penicillin V potassium, Penicillin G benzathine
    • Penicillinase-resistant penicillins: Dicloxacillin
    • 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