Respiratory Profile 2-IVD + SARS PCR deemed to lack medical necessity by Medicare
Please be aware that, as of April 1st, 2022, the profile #MRP2 Respiratory Profile 2-IVD + SARS PCR (CPT code #87633) was deemed to lack medical necessity by Medicare in regards to reimbursement. More information can be found on Medicare’s coverage database.
Due to such, all client facilities should be advised to submit an Advance Beneficiary Notice if ordering the test to ensure that the cost of the profile does not fall onto the facility as the party responsible for payment.
Please see below for the profile information:
|#MRP2||RESPIRATORY PROFILE 2-IVD + SARS PCR||$416.78|
Due to the cost of the profile, Aculabs asks all facilities to share this notice with members of their nursing staff who use the online ordering system.
Client facilities are encouraged to routinely check the Billing Notices section to ensure they do not miss out on important updates. We thank you for your understanding and cooperation with such changes to the test(s) discussed above.
– Aculabs, Billing Department