2026 CPT Code Changes for Urgent Care

02/04/2026

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Effective 1/1/2026, the AMA has approved CPT code 87812 to recognize ‘direct optical observation’ results for lab tests testing COVID-19 and Influenza A/B together:

The following labs will change to 2026 code 87812:

BinaxNOW COVID-19/Flu A&B

CorDx Tyfast Flu A/B & COVID-19 Multiplex Rapid Test
FLOWFLEX PLUS COVID-19 AND FLU A/B
Healgen COVID-19/Flu A&B Ag Combo Rapid Test
Status COVID-19/Flu A&B
Well Life COVID/Flu

The AMA also approved CPT code 87494 for multiplex amplified probe tests for chlamydia and gonorrhea when tested together:

The following labs will change to 2026 code 87494:
Chlamydia/Gonorrhea Rapid Test
Xpert CT/NG Chlamydia trachomatis and Neisseria gonorrhea (DNA)

New COVID-19 vaccine administration code updates.

  • New code 90481, “Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine; each additional component administered.”
    • This is an add-on code used with 90480, which is the administration for the first or only component of each [COVID-19] vaccine administered
  • New codes 90482, 90483, and 90484 are time-based codes for immunization counseling when the immunization(s) is NOT given on the same day

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