COVID-19 Articles and Resources

News and Important Information

Codes and reporting guidelines are updated frequently to address changes designed to meet the requirements of the COVID-19 public health emergency. Our COVID-19 cheatsheet is updated as code changes become available. Be sure to also frequent payer websites for changes in policies that may affect your organization. Articles, tips, and resource links can also provide additional information as well as the other links available from this topics page.

COVID Vaccine Codes Announced Released 2020/11/11

CMS Expands Telehealth Again Released 2020/10/20

Significant COVID-19 Code Changes as of October 6

AHIMA: FAQ's regarding ICD-10/PCS Coding for COVID-19 Revised 2020/08/05

More COVID-19 Codes Announced Released 2020/09/08

ICD-10-CM Official Coding and Reporting Guidelines Updated for COVID-19

Providing Telehealth Services During COVID-19 Crisis

FREE Coding Card

Find-A-Code's Tools & Resources

Coronavirus & Telehealth Cheatsheet

Coronavirus & Telehealth Cheatsheet

Understand the COVID-19 New Codes

Understand the New Codes for Testing & Reporting the COVID-19 Coronavirus

Additional Links and Resources

CDC

Centers for Disease Control and Prevention

Pandemic Planning

Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings

CDC - Coronavirus Disease-2019

CDC - Coronavirus Disease-2019 Information Page

CMS - Coronavirus (COVID-19) Partner Toolkit

CMS- Coronavirus (COVID-19) Partner Toolkit

CMS Coronavirus Waivers

CMS- Waivers & Flexibilities for Health Care Providers

Doctors Management

COVID-19 Practice Management Resource Center

OIG - COVID-19 Portal

OIG - COVID-19 Portal

Policy Statements and Guidance

OIG - COVID-19 Policy Statements and Guidance

NAMAS - COVID-19 Resources

NAMAS - COVID-19 Resource Page

PMI - COVID-19 Resources

PMI - COVID-19 Resources for Provider Offices

AHIMA CDI Query Templates

AHIMA COVID-19 CDI Query Templates

AHIMA COVID-19 News & Resources

AHIMA COVID-19 News & Resources

Current emergencies

Current emergencies

Select the title to see a summary and a link to the full article.

COVID Vaccine Codes Announced

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On November 10, 2020, the American Medical Association (AMA) announced the addition of two new codes which will be used for the new COVID-19 vaccines along with 4 new administration codes to be used when reporting the administration of these vaccines.

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OIG – Fraud and Abuse Study with COVID-19 Testing

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According to the Office of Inspector General (OIG), “The coronavirus disease 2019 (COVID-19) pandemic has led to an unprecedented demand for diagnostic laboratory testing to determine whether an individual has the virus. Beyond the COVID-19 tests, laboratories can also perform add-on tests, for example, to confirm or rule out diagnoses ...

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CMS Expands Telehealth Again

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On October 14, 2020, CMS announced further changes to expand telehealth coverage. Eleven (11) new codes have been added to their list of covered services bringing the current total to 144 services. The new services include some neurostimulator analysis and programming services as well as some cardiac and pulmonary rehabilitation services.

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Significant COVID-19 Code Changes as of October 6

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Significant COVID-19 Code Changes as of October 6

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More COVID-19 Codes Added as of September 8, 2020

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The American Medical Association (AMA) recently announced the addition of two more CPT codes in relation to COVID and the Public Health Emergency (PHE). Codes 99702 and 86413 were posted to the AMA website on Tuesday, September 8, 2020 and new guidelines have been added as well.

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Is COVID-19 Causing Risk Adjustment “Gotcha’s”?

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The COVID-19 public health emergency (PHE) has created some possible problems when it comes to risk adjustment. Be sure your organization has implemented policies and procedures to try and overcome these new hurdles.

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Additional COVID-19 Testing Codes Announced

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New coronavirus antigen testing codes announced. These are effective immediately.

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CMS- Reminder COVID Assessment and Specimen Collection

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On March 1, 2020, new codes and rules were released to bill for COVID-19 symptom and exposure assessments, as well as specimen collection. CMS has recently sent out reminders on billing for these services, the proper use of the CS modifier on claims, and how they are handling denials due ...

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Watch for Payer Telehealth Coverage Changes

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As our country moves forward with a phased approach to reopening, be sure to pay close attention to individual payer policies regarding how long these changes will remain in effect. Keep in mind that private payer, federal programs (Medicare, Medicaid), and Medicare Advantage plans can all have different timelines as well as different coverage.

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Additional Practice Reopening Tips

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As practices begin reopening across the nation, there are several things that need to be considered. Policies and Procedures Manuals need to be updated, malpractice carriers need to be contacted and everyone needs to consider mental health screenings and support.

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Are Diagnoses from Telehealth Services Eligible for Risk Adjustment?

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On April 10th, CMS released a memo with the subject line, “Applicability of diagnoses from telehealth services for risk adjustment,” suggesting there may be some telehealth services that might not qualify for risk adjustment. However, in the memo CMS states: “Diagnoses resulting from telehealth services can meet the risk adjustment face-to-face ...

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CMS- Change in Funding for COVID-19 Economic Impact

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On Sunday night April 26, 2020, CMS announced they will no longer be "accepting any new applications for the Advance Payment Program, and CMS will be reevaluating all pending and new applications for Accelerated Payments in light of historical direct payments made available through HHS’ Provider Relief Fund." The COVID-19 Pandemic has ...

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COVID-19 Clinical Trial Participation Helps Providers Earn MIPS Credit

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All healthcare providers who are currently participating in the MIPS portion of Medicare’s Quality Payment Program may want to participate in the new COVID-19 Clinical Trials improvement activity. Read more about it here.

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Special COVID Laboratory Specimen Coding Information

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With all the new laboratory test codes that have been added due to the current public health emergency (PHE), there are a few additional guidelines CMS has released about collecting samples to perform the testing. Please keep in mind that these guidelines are by CMS and may or may not apply to other commercial payer policies.

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SOME of Us Non-Essentials May be Able to Get Back on the Road!

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The day is coming when the freeways will have 5:00 pm stop-and-go traffic again, no doubt. However, when it comes to re-opening our world, CMS has Recommendations! Changes are finally here; we are starting to see a decline in COVID-19 cases in some states and certain locations. It may be time ...

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New CPT® Codes Approved for COVID-19 Antibody Identification

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On April 10, 2020, the American Medical Association approved and published a revision of code 86318 and added two new codes 86328 and 86769 for reporting Coronavirus [COVID-19] antibody testing.

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Medicare Released the Amount they Will pay for COVID Testing Eff 4/14/2020

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CPT Coding Guidance on New Lab Code for COVID-19

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According to the AMA, "The Addition of one Category I Pathology and Laboratory code (87635) for severe acute respiratory syndrome coronavirus 2 (SARS-2-CoV-2) (Coronavirus disease [COVID-19]) accepted at the March 2020 CPT Editorial Panel meeting. *Note that code 87635 will be a child code under parent code 87471. It is represented here ...

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COVID-19 Chiropractic Resources

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COVID-19 Chiropractic Resources contains current, updated information regarding COVID-19. Included are lists of webinars, articles, websites and links pertaining to the ongoing changes.

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CMS Important Information on COVID-19 Released

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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 ...

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Financial Impact of CARES Act on Healthcare Providers

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The recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act has several provisions to ease the financial burden being faced by healthcare providers who have been impacted by the effect of the coronavirus. Learn more about how the Provider Relief Fund and the Accelerated and Advance Payment Program work.

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ICD-10-CM Official Coding and Reporting Guidelines Updated for COVID-19

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The ICD-10-CM Official Coding and Reporting Guidelines have just been updated to include COVID reporting. Additional information beyond the previously released interim guidelines are included. These are the rules that should be followed for claims submission. The notice states that this is for April 1, 2020 through September 30, 2020.

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Providing Telehealth Services During COVID-19 Crisis

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The rules for providing telehealth services during this pandemic have changed and some requirements have been waived. Please keep in mind that “waiving requirements” does not mean that anything goes. Another important consideration is that Medicare and private payers may likely have different rules so you need to make sure that you know individual payer requirements during this time.

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LATEST COVID-19 INFORMATION FOR BILLING NON-FACE-TO-FACE SERVICES

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Healthcare providers and the population at large are concerned about safe access to care considering the COVID-19 pandemic. As a result, we have received many inquiries this week about how to bill for “telehealth” services. Let’s first address that true telehealth services have some pretty stringent requirements from CMS, including that ...

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COVID-19: Cybercrime, Telehealth, and Coding

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Your inbox is probably like mine with all sorts of announcements about COVID-19. Here are just a few reminders of things we felt should be passed along. We have heard of several cases of cybercrime related to this outbreak. For example, there was a coronavirus map which loads malware onto your ...

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Understand the New Codes for Testing & Reporting the COVID-19 Coronavirus (SARS-CoV-2)

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The current coronavirus pandemic refers to COVID-19, a novel or new type of coronavirus known as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The first victim of the virus was identified in Wuhan, Hubei, China at the end of 2019. There is no immunization available to prevent it from spreading and ...

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