Read the Emergency Use Authorization for LUCIRA® by Pfizer COVID-19 & Flu Test
Reimbursement
When ordering LUCIRA® by Pfizer COVID-19 & Flu Test, use CPT code 87636QW for combined COVID-19, Flu A, and Flu B molecular tests.1-3
CPT Code1
87636
CPT Description
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique.
Modifiers2
QW†
Modifier Description
QW modifier must be used when billing for tests performed in facilities with a CLIA certificate of waiver.
† The QW modifier must be added to CPT code 87636 to denote that the LUCIRA® by Pfizer COVID-19 & Flu Test diagnostic test is being conducted in your office setting and not in a traditional lab setting. Please ensure that, when billing for LUCIRA® by Pfizer COVID-19 & Flu Test, the code 87636QW is used.2,3
Picture is for illustrative purposes only. Please see package insert instructions for proper handling and usage.
Offer in-office molecular testing.
Order tests at your own pace and stock your practice with the tools to provide highly accurate,* molecular testing in 30 minutes for your patients experiencing viral respiratory symptoms consistent with COVID-19 and flu.4
See the technology behind the test.
CLIA; Clinical Laboratory Improvement Amendments; CPT, Current Procedural Terminology.
*The LUCIRA® by Pfizer COVID-19 & Flu Test provides a level of accuracy comparable to highly sensitive lab-based polymerase chain reaction (PCR) tests. Negative results do not preclude SARS-CoV-2, influenza A, and/or influenza B infection and should not be used as the sole basis for patient management decisions.4
References: 1. New CPT codes for multi-virus tests detect COVID-19 and flu. American Medical Association. Published October 7, 2020. Accessed February 28, 2024. https://www.ama-assn.org/press-center/press-releases/new-cpt-codes-multi-virus-tests-detect-covid-19-and-flu 2. Addition of the QW modifier to healthcare common procedure coding system. Centers for Medicare and Medicaid Services. Accessed April 16, 2024. https://www.cms.gov/files/document/mm12269.pdf 3. Lab technology that’s easy to use. Lucirabypfizer.com. Accessed April 16, 2024. https://www.lucirabypfizer.com/hcp/using-the-test 4. LUCIRA® by Pfizer COVID-19 & Flu Test. Instructions for Use. Pfizer Inc; 2023.