POCT COVID Billing

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I know you cannot double bill any POCT test (for example if the clinic orders a POCT UA and then decides to send it out to the laboratory to have them run the UA we cancel the POCT test). My question is if we perform a POCT COVID antigen test but decide due to our guidelines that we need to send it out for a COVID PCR test do we need to cancel the POCT COVID test and not bill for it?

3 Replies

Mon Nov 16, 2020 at 1:08PM

I don't think this is a case of double bill. The PCR one is a confirmatory test. As long as it is in your policy, I don't see why you cannot bill for both.

Anastasia Augustine

Tue Nov 17, 2020 at 12:29PM

Yes that makes sense.If our guidelines say that all negatives should either be sent for PCR confirmation or retested at 48 and 72 hours to be called negative can we bill for the onsite POCT tests if the 3 that are needed to confirm are not completed? For example a patient comes in and we do a onsite Ag test and it's negative, then we have them quarantine for 24 hours and come in and retest but they do not come back in can we we charge for the first test if they are not completing the whole series of tests? Do we just have to put a comment in the result that this is a presumptive test result and additional testing is needed for confirmation?

Don Tran

Tue Nov 17, 2020 at 4:05PM

Your lab did the Ag test, I don't see why you can't bill for it. If the patient comes back for the PCR test, then you can bill for both.
Follow the manufacturer's recommendation on what result to report (whether "presumptive" is needed) and what comments to include.

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POCT COVID Billing