Health Insurance Reimbursement
Health Insurance Reimbursement
Health Insurance Reimbursement
Insurance Reimbursement in the U.S.
Healthcare professionals trust A1CNow®+ and CardioChek® Plus analyzers for their lab-quality accuracy, speed, and ease of use at the point of care. In addition to enhancing patient engagement and clinical efficiency, these CLIA-waived systems may offer opportunities for reimbursement under Medicare, Medicaid, and some private insurance plans.
Coverage and coding requirements can vary, so it’s essential for providers to consult with their medical billing experts to determine what options apply to their specific practice and patient population.
With the right support, point-of-care testing can be both clinically valuable and financially sustainable.
Suggested CPT Codes
for CardioChek Plus, CardioChek PA, and A1CNow+
The following Current Procedural Terminology (CPT) codes are suggested for submitting tests performed with PTS Diagnostics products for Medicare and Medicaid reimbursement. These are suggested codes. Please follow CMS regulations to file claims.
PTS Diagnostics disclaims responsibility for any liability attributable to end user use of CPT. PTS will NOT be liable for any claims attributable to any errors, omissions, or other inaccuracies in the information on this page. In no event shall PTS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.
Note: “QW” is a modifier used when coding for Medicare and Medicaid, indicating that the test is categorized as CLIA-waived. If overlooked or omitted when filing, it may result in denial of the Medicare or Medicaid claim.
