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 test CPT® code (effective 2/2/2020)

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])

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])

see also   AMA Guidelines


Coronavirus test HCPCS codes (effective 2/4/2020)

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

Effective 3/18/2020:

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

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





Coding for COVID-19/Coronavirus





CMS COVID-19/Coronavirus articles & information

CMS has recently released some important information on their last MLN, the highlights are below.


COVID-19: Dear Clinician Letter

CMS posted a letter to clinicians that outlines a summary of actions CMS has taken to ensure clinicians have maximum flexibility to reduce unnecessary barriers to providing patient care during the unprecedented outbreak of COVID-19. The summary includes information about telehealth and virtual visits, accelerated and advanced payments, and recent waiver information.
Letter (PDF)


COVID-19: Non-Emergent, Elective Medical Services and Treatment Recommendations

Read more here


Supplier Education on Use of Upgrades for Multi-Function Ventilators

A new MLN Matters Special Edition Article SE20012 on Supplier Education on Use of Upgrades for Multi-Function Ventilators (PDF) is available.


Quality Payment Program:

Quality Payment Program COVID-19 Response Fact Sheet

Clinical Trial Participation for MIPS Credit

Participation Status Tool

MIPS extreme and uncontrollable circumstances application


Pneumococcal Pneumonia Vaccination: Eligibility Transactions Includes DOS Starting April 13

See the MLN Matters Article (PDF) for more information.


Accelerated/Advance Payment Program

CMS Approved Approximately $34 Billion for Providers with the Accelerated/Advance Payment Program for Medicare Providers in One Week!

The fact sheet on the accelerated/advance payment process and how to submit a request can be found here: Fact Sheet (PDF). Providers can also contact their Medicare Administrative Contractor for any questions.

If you have any questions on the above information you can contact qpp@cms.hhs.gov or 866-288-8292 (Customers who are hearing impaired can dial 711 to be connected to a TRS communications assistant)

References:


CMS Billing & coding guidance:





AMA's CPT® Assistant provides guidance for new COVID-19 codes

CPT Assistant is providing fact sheets for coding guidance for all new SARS-CoV-2 (COVID-19)-related testing codes.

The fact sheets include:

Download the March 13, 2020 CPT Assistant guide (PDF)

Download the April 10, 2020 CPT Assistant guide (PDF)

Coding advice and testing guides

AMA COVID-19 Information

CPT © Copyright 2020 American Medical Association. All rights reserved. AMA and CPT are registered trademarks of the American Medical Association.




Telehealth changes/updates due in part to COVID-19/Coronavirus




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