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HCPCS/CPT K1034, Provision of covid-19 test, nonprescription self-administered and | No Prior Auth

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`K1034`, Provision of covid-19 test, nonprescription self-administered and

HCPCS/CPT

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Key Coverage Criteria

COVID-19 testing (viral PCR/antigen and antibody serology) may be considered medically necessary when the test is ordered by an attending provider or pharmacist for patient medical management and the test has received Emergency Use Authorization (EUA) by the FDA for the COVID-19 Pandemic or the test is performed by a CLIA-certified laboratory.

1 Active Policy

REGENCE-LAB74, COVID-19 Testing

Related Codes

0226U(1 policies)0408U(1 policies)86328(1 policies)86408(1 policies)86409(1 policies)86413(1 policies)86769(1 policies)0224U(1 policies)

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