tci ED Coding & Reimbursement Alert - 2016 Issue 8

Zika Update: Medicare Releases Coverage Instructions On Diagnostic Testing for Zika Virus

Documentation must show why the Zika testing was necessary. Testing for Zika virus is now covered under Part B - provided you meet a few CMS requirements. In a special edition article of MLN Matters, Number: SE1615 Related Change Request, CMS announced that Zika virus testing is covered under Medicare Part B as long as the clinical diagnostic laboratory test is reasonable and necessary for the diagnosis or treatment of a person's illness or injury. According to the Centers for Disease Control and Prevention (CDC), the Zika virus disease is a nationally notifiable condition that has caused outbreaks in...

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