COVID-19 codes - coronavirus diagnosis, testing and billing codes

Current ICD-10-CM, CPT® and HCPCS codes for Coronavirus [COVID-19] diagnosis and procedure/billing codes

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COVID-19/coronavirus codes

Coronavirus testing CPT®/PLA codes (as of 6/25/2020)

86328 Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])

87426 Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])

87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique (full)

86769 Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])

0202U Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected

0223U Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected

0224U Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), includes titer(s), when performed

Coronavirus testing HCPCS codes (as of 5/1/2020)

C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) (Coronavirus disease [COVID-19]), any specimen source

G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), any specimen source

G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), from an individual in a SNF or by a laboratory on behalf of a HHA, any specimen source

Note: For additional information about coding these collection services, CLICK HERE.

U0001 CDC 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel

U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC

U0003 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique, making use of high throughput technologies as described by CMS-2020-01-R.

U0004 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC, making use of high throughput technologies as described by CMS-2020-01-R.

Coronavirus ICD-10-CM codes (effective 4/1/2020)

U07.1 COVID-19, virus identified

New Code Usage: Only use the new U07.1 code for confirmed cases — including patients that are not experiencing any symptoms. “If the provider documents "suspected," "possible," "probable," or “inconclusive” COVID19, do not assign code U07.1. Assign a code(s) explaining the reason for encounter (such as fever) or Z20.828, Contact with and (suspected) exposure to other viral communicable diseases.”
Sequencing: Code U07.1 is a principal diagnosis and should be reported first on the claim unless this is an obstetric patient, in which case use a code from subcategory O98.5- “Other viral diseases complicating pregnancy, childbirth and the puerperium” first and then the U07.1 code. Any other manifestations/symptoms are reported after the principal diagnosis. They also noted that if the infection progresses to sepsis, “see Section I.C.1.d. Sepsis, Severe Sepsis, and Septic Shock.”
Exposure: “For cases where there is a concern about a possible exposure to COVID-19, but this is ruled out after evaluation”, use code Z03.818 “Encounter for observation for suspected exposure to other biological agents ruled out.” For actual exposure to someone “who is confirmed or suspected to have COVID-19, and the exposed individual either tests negative or the test results are unknown”, use code Z20.828 “Contact with and (suspected) exposure to other viral communicable diseases.”
Screening: For no known exposure and no symptoms, use code Z11.59 “Encounter for screening for other viral diseases”. For exposure or suspected exposure, see above.

Please see the link to the new guidelines in the References below for more complete information.

source ICD-10-CM Official Coding and Reporting Guidelines April 1, 2020 through September 30, 2020

COVID-19/Coronavirus Resources

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