New FAIR Health Benchmarks Available for COVID-19

Although the COVID-19 crisis has changed many aspects of life, FAIR Health remains unchanged in our dedication to providing vital data to organizations and individuals across the healthcare sector. Among the resources we offer to help stakeholders better understand the new chapter we have entered are cost benchmarks for new codes related to COVID-19.

Intended to assist with managing both billing and payment, the cost benchmarks are integrated in several of our FH® Benchmark modules. For example, in April, we launched FH® Facility HCPCS, which provides charge benchmarks based on HCPCS Level II codes billed through a facility on the universal billing claim form (UB-04). This new module includes benchmarks for U0001-U0004, codes introduced by the Centers for Medicare & Medicaid Services for COVID-19 testing, and G2023 and G2024 for specimen collection, specific to COVID-19. Also in April, FH® Outpatient Facility made benchmarks available for CPT®1 87635 (infectious agent detection by nucleic acid [DNA or RNA]; severe acute respiratory syndrome [SARS-CoV-2 (COVID-19)]).

Future benchmarks for COVID-19-related codes include those that will be integrated in FH® Medical in May and FH® HCPCS in June. FH Medical, for example, will include benchmarks for CPT 87635, and FH HCPCS will include benchmarks for U0001-U0004. Custom products also can be made available to organizations that have a need for only those benchmarks related to the coronavirus pandemic.

FAIR Health President Robin Gelburd stated: “At this difficult time, many healthcare stakeholders are dealing with the coronavirus crisis not only from a personal but from a business perspective. We hope that these benchmarks will provide tangible assistance to advance the important work they are doing.”

For more information on the new benchmarks for COVID-19 testing and specimen collection, contact FAIR Health by email at or call 855-301-3247, Monday through Friday, 9 am to 6 pm ET.

1 CPT © 2019 American Medical Association (AMA). All rights reserved.