covid specimen collection cpt code 2021

by · 17 maig, 2023

Medicare will allow the use of U0002QW and 87635QW for claims submitted by facilities with a valid, current CLIA certificate of waiver with dates of servcie on or after March 20, 2020. The COVID-19 test and specimen collection codes are not payable under ambulatory patient groups (APGs). Sign up for our monthly newsletter to download the reference sheet. 2021 icd 10 cm guidelines covid 19 specimen . CMS has also established HCPCS codes for other COVID-19 tests. Resubmit returned claims as a packaged service to include C9803, as appropriate. Dee. But, CMS weighed in on April 30, 2020, in their Interim Final Rule with comment (IFC). Can G2023 is billable under POS 15? Imran. When two distinct analyses are performed (e.g, IgG and IgM), 86769 is reported on two claim lines with modifier 59 (distinct procedural service) appended to 86769 on the second claim line. . The Centers for Medicare & Medicaid Services (CMS) has not weighed in on this new code, as yet. vI-i? With yet another testing code, you may be a little confused as to which code to use for what test. Please note that this is the most widely used code. Kent Moore, Senior Strategist for Physician Payment. Learn more about the benefits of . Treatment: Yes, effective April 1, 2020, through January 31, 2021, Anthem and its delegated entities waived cost shares for members undergoing treatment related to a COVID-19 diagnosis. Independent labs must use G2023 and G2024 to bill Medicare for the specimen collection fee for COVID-19 testing during the public health emergency (PHE), the interim final rule states. They brought us testing kits today for the U0002, but there should be a code reimbursable to the Provider, I would think? Providers of diagnostic tests for COVID-19 are required to post on their website how much they will charge a patient for the service. And do you know what the reimbursement will be? Hospital outpatient departments should bill for symptom assessment and specimen collection for COVID-19 using HCPCS code C9803. These AMA resources may be helpful: https://www.ama-assn.org/system/files/2020-04/cpt-reporting-covid-19-testing.pdf and https://www.ama-assn.org/system/files/2020-04/covid-19-coding-advice.pdf. (MLN Matters MM11765). For individuals in a SNF or for individuals whose samples will be collected by a laboratory on behalf of an HHA, the fee will be $25.46. The lab cannot bill for specimen collection or travel. hbbd```b``"^H DpE$E"`5@$9\&+jvs , lK(8@e?,&{j@g`` i (MLN Connects May 7, 2020), Question: we are billing G2023 Commerical Payers Like BCBS, AETNA, UHC and CIGNA are paying for Primary care setting, my question that did commercial insurance payers also returned back paid claims amount, Can we used C9803 for out patient clinics. Would they ever be . Per the standard early release delivery process for CPT codes, providers had to manually upload the code descriptors of the COVID-19 test codes into their EHR systems. Learn more about the benefits of membership by clicking on the link below. endstream endobj startxref This is not a substitute for current CPT and ICD-9 manuals and payer policies. Recorded April Read More All content on CodingIntel is copyright protected. CPT is a registered trademark of the American Medical Association. The place of service code for FQHCs is 50. thank you for your response Renee , It was very helpful. Let me know if this helps. ICD-10-PCS Code(s) The Centers for Medicare and Medicaid Services (CMS) has added 12 new procedure codes to the International . HWn\7W9!;`c e$Iv,b#MV=tx`/_;:;;6jtpnqs{O~;x9t#mrm\F ub.,7o#.i`%(L%$,]%m. Medical coding resources for physicians and their staff. multiple specimens, modifier 59 should be used to HCPCS Level II code, the HCPCS Level II code conjunction with any of the other CPT test codes that mention coronavirus, namely code 87631, 87632, 87633, 0098U, 0099U, or 0100U? Entering incorrect codes will only compromise data accuracy. Although CMS does not address it, if a specimen is collected on the day of an office visit, there wont be separate payment for 99211. Cost-sharing "EXCEPTION" does not apply to inpatient admissions. Note: The waiving of member cost sharing, which . Blood sample collections are reported with CPT code 36415 (Collection of venous blood by venipuncture) or 36416 (Collection of capillary blood specimen, e.g., finger, heel, ear stick). The reference to any specimen source also may allow you to continue to use these collection codes as the industry develops new COVID-19 tests that use different specimen sources. For more about Betsy visit www.betsynicoletti.com. dependent upon the payer to which the claim is office manager or physician? The American Rescue Plan Act of 2021 (ARPA, P.L. K7q5H+l`Q`o$uH320p\!@Z! G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), any specimen source Editor's note: on June 24, the CPT Editorial Panel approved the addition of a new code for reporting antigen testing, which is designed to be a quicker way to identify patients infected by the novel coronavirus. Heres a rundown of the COVID-19 clinical diagnostic laboratory testing codes, with effective dates and Medicare payment rates. %%EOF 2021. 405 0 obj <> endobj Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role. COVID-19 Test Date of Service Code(s) Standard Diagnostic COVID-19 Testing : On or after February 4, 2020. If I understand your second question, the answer is yes. we received the testing kits and BD veritor system to verify results. (02) Telehealth as of Jan. 1, 2021 Specimen collection HCPCS codes: G2023 and G2024 Cost share will be waived for COVID-19-specific specimen collection. . CA PREP RFA 2021 Addendum #1; CA PREP Questions and Answers for 2021 RFA . As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. The specimen collection fee applies if the specimen is collected by trained laboratory personnel from a homebound or non-hospital inpatient and the specimen is a type that would not require only the services of a messenger pick up service. State Government websites value user privacy. In an interim final rule related to COVID-19 policy and regulatory revisions, the Centers for Medicare & Medicaid Services (CMS) explains that tests that allow patients to collect the specimen would not be eligible for the specimen collection fee. Earn CEUs and the respect of your peers. (used to identify and reimburse specimen collection for COVID-19 testing) have been released for dates of service on or after March 1, 2020. . Two new CPT codes and one PLA CPT code were created for reporting COVID-19 neutralizing antibody testing, and one Best to ask her insurance company that question. Current Procedural Terminology (CPT) codes for COVID-19 testing. They join new HCPCS Level II COVID-19 testing codes and a new CPT COVID-19 testing code. Virginia. those residents in Medicare-covered stays (whose bundled lab tests would be covered http://www.cms.gov/files/document/03092020-covid-19- Transferring serum/plasma to a screw-cap polypropylene vehicle tube. In an earlier FAQ, CMS says to use HCPCS Level II code U0002 for COVID-19 test methods that are not specified by either HCPCS Level II U0001 or CPT 87635. Clinical diagnostic laboratories can identify specimen collection for COVID-19 testing using two new HCPCS Level II codes, effective March 1, 2020. The guidance below addresses options for collecting specimens. 672 0 obj <>stream The CPT codes will be included in the complete CPT code set in the data file for 2021, which will be available later this year. During the public health emergency (PHE) for COVID-19, CMS has removed the requirement that certain diagnostic tests are covered only under the order of at treating physician or nonphysician practitioner (NPP). Can you bill the 87635 for lab test that will be sent out, and will be billed to our facility and then bill for specimen collection G2023 and also bill for Specimen handling charge 99001? The MAC adjudicates the FFS claim at physician fee schedule reimbursement. Earn CEUs and the respect of your peers. However, if the specimen is collected during a routine office visit, it would not be separately payable. endstream endobj 406 0 obj <>/Metadata 75 0 R/PageLabels 400 0 R/Pages 403 0 R/StructTreeRoot 157 0 R/Type/Catalog/ViewerPreferences<>>> endobj 407 0 obj <. %PDF-1.6 % Can we bill 36415 and G2023 on the same Date of Service? HCPCS Level II specimen collection codes G2023 and G2024 arent the only recent additions related to COVID-19. https://www.ama-assn.org/system/files/2020-05/coronavirus-long-descriptors.pdf, https://www.cms.gov/files/document/mac-covid-19-test-pricing.pdf, Thanks alot Renee for wonderful and knowledgeable detail oriented updated information sharing, I have a question can please favor me These fees are higher than the typical specimen collection fees of $3 to $5, reflecting the higher costs required to minimize exposure risks. Wisconsin. HCPCS code U0002. %%EOF . Some payers may not agree with the advice given. The new HCPCS codes (G2023, G2024) for COVID-19 specimen collection are for use by independent laboratories, not medical practices, Do you know if the PCP office can bill any codes for the collection of the specimen (swab) of Covid19 testing? CPT 87635. hUN@}Uh/7KB`Ubm=NBCXm1y&q/Ia #f|6?=mx/|qqXE:.18Kx8m"9 N*o'zk(fYR |2hGu #(TZ w:E5){]Q&M ys5/&t9?E^&u_wpW20/b^xXC2a5E5E_z? 2>m "hpU4tF5"ymYbG\^^ P8c9j| BlY@Z"2. Usually, the presenting problem(s) are minimal. Medicare patients should not be charged a deductible or copay for any COVID-19 test. HCPCS Level II code C9803 is effective for services provided on or after March 1, 2020. Check NCCI edits. December 30, 2021. HCPCS Level II codes can be found at https:// Can outpatient hospital lab bill for this collection service for G2023 and G2024. These codes are for labs to bill when performed by certified techs. 'Bbc53T h`!3Z8QOC R{p2r>-. Either CPT U0002 or 87635? Additionally, it is expected that additional CPT or HCPCS codes may be released as vaccination efforts proceed and potential new vaccines are approved. The manual . All rights reserved. *fst|"_yq}Y}Bm[,RWw DO--QhfYiiddVQCG7Ym:`yJg^CXlU=!72!zW*c.rKiQP)VIefc?qZ4MU`\`189?3DpozA%3Uxjfqz\"=p#\=>6P5(8L&HGg!f(VB If a patient is seen via a curbside/virtual visit at our urgent care clinic for possible Covid and the provider orders a covid collection to be obtained for send out. Everyone who has symptoms that are consistent with COVID-19 and people with known high-risk exposures to SARS-CoV-2 should be tested for SARS-CoV-2 infection. The determine their specific reporting guidelines. HCPCS Level II Professional Edition -- E-Book Buck's Step-by-Step Medical Coding, 2021 Edition 2018 HCPCS Level II Professional Edition - E-Book Understanding Current Procedural Terminology and HCPCS Coding Systems, Spiral bound Version 2020 Ob/GYN Coding Manual: Components of . The nominal specimen collection fee for COVID-19 testing for homebound and non-hospital inpatients generally will be $23.46, according to the interim final rule. Not sure you can unbundle those codes. CPT Code: 87635. Any resource shared within the permissions granted here may not be altered in any way, and should retain all copyright information and logos. CPT 99072 (additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other nonfacility service(s), when performed during a Public Health Emergency, as defined by law, due to respiratory-transmitted infectious disease) is a non-covered code. be included in the CPT 2021 code set in the Microbiology subsection of the Pathology and Laboratory section. 117-2), which allocated funding to reimburse providers for COVID-19 testing of the uninsured. A lock icon or https:// means youve safely connected to the official website. As the descriptors reveal, both G2023 and G2024 apply to collection of any specimen source, which means you should not restrict your use of these codes based on the source of the specimen. For the duration of the COVID-19 PHE, we are therefore finalizing on an interim basis that when the services described by CPT code 99211 for a level 1 E/M visit are furnished for the purpose of a COVID-19 assessment and specimen collection, the code can be billed for both new and established patients. CMS, in the same paragraph, notes that direct supervision for specimen collection may be met through the virtual presence of the supervising physician or practitioner using interactive audio and video technology for the duration of the public health emergency. [1]. Copyright American Medical Association. endstream endobj startxref Updated to include COVID-19 CPT code 87635 and . %PDF-1.5 % regarding payment for specimen collection for purposes of testing for COVID-19 and certain related services. Labcorp examine details available Bilirubin, Total and Direct 559 0 obj <> endobj That depends on the specific tests used and who her insurance is with. Or can I use this code in place of service 81? The American Medical Association (AMA) released a new proprietary laboratory analysis (PLA) code for novel coronavirus testing. If an E&M service is not provided, 99001 can be used for pop-up labs or specimen collection service would be paid as conditionally packaged when furnished with another payable service under the OPPS. CMS will automatically reprocess claims billed for 99211 that were denied due to place of service editing. . Privacy Policy | Terms & Conditions | Contact Us. Secure websites use HTTPS certificates. The AMA developed and distributed a document that includes many scenarios for collecting COVID-19 specimens, including using 99211, a nurse visit, for collecting a specimen on a day when the patient did not have an in-person visit or telehealth visit. Supplies ; Instructions by Specimen Type ; Microbiology Culture Tests ; . We will not reimburse for specimen collection if billed with separate E&M codes. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. Questions and answers regarding policies described . . C9803. Coding for telehealth is everchanging. We note that G2024 is applicable to patients in a non-covered stay in a SNF and not to C9803 Hospital outpatient clinic visit specimen collection for Severe Acute Respiratory Syndrome(sars-cov-2) (Covid-19)any spec $22.99 87426 Infectious agent antigen detection by immunoassay technique (for example, COVID -19 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 . Commercial payers make their own rules. She knows what questions need answers and developed this resource to answer those questions. we are getting a lot of denials for 99202/99212 and g2023 for our collection or the specimens. . 214 0 obj <> endobj Billing tips for COVID-19. Renee has more than 30 years' experience in journalistic reporting, print production, graphic design, and content management. testing for the duration of the PHE for the COVID-19 pandemic. See the CPT Assistant Special Edition May Update for more details on how the AMA intends us to use this new code. Viral transport medium acceptable for collection of influenza specimens in 1 mL or 3 mL volumes can be used to transport swabs for COVID-19 testing. Other payers may have different policies on this. The two HCPCS codes carry a higher Medicare . 1818 0 obj <>stream Using it consistently will help practices be reliable in their determinations and provide support in payer audits. Outpatient hospital specimen collection, HCPCS code C9803, is not allowable in the FQHC or RHC setting. Codes. For use by hospital outpatient departments and physician offices: Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) any specimen source G2023. Our clinical team is actively monitoring external queries and reports from the Centers for Disease Control and Prevention (CDC) to help us determine what action is necessary on our part. They join new HCPCS Level II COVID-19 testing codes and a new CPT COVID-19 testing code. CHHAs providing specimen collection for homebound patients may bill rate code "4921" and rate code "4922" (travel each way) if specimen collection is the only service performed. Reindl M, Schanda K, Woodhall M, et al. Testing may also be used for screening and determining the length of a . 1790 0 obj <> endobj Renee Dustman, BS, AAPC MACRA Proficient, is managing editor - content & editorial at AAPC. We do the collection in our office and send to the lab. However, effective March 1, 2020, Medicare allows reporting of code 99211 (appended with modifier CS to waive cost-sharing) when clinical staff collects COVID-19 specimens for new or established patients. 86769 Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]). Hi Mary You should be able to follow your usual process for reporting handling and the outside lab test billed to the facility, but checking with your compliance team is a good idea. Reimburses $9.35 each way. CPT codes: 99001 Cost share will be waived for specimen collection, along with the appropriate ICD-10 code of Z03.818 or Z20.828, if not billed with separate E&M charges. ICD-10-CM has also added a new code, U07.1 COVID-19, with official coding guidelines. . Two new HCPCS Level II codes were created for specimen collection, effective March 1, 2020 . The MLN Connects post specifies that the codes are effective with line item date of service on or after March 1, 2020. Watch for CMS to issue additional guidance once the PHE is over and when the codes are no longer valid for reporting. Independent labs may bill Medicare for specimen collection fees, transportation fees, and personnel expenses for the duration of the PHE for COVID-19. . Standard Diagnostic COVID-19 Testing Combined with Flu A and B : On or after October 6, 2020. 157 0 obj <>/Filter/FlateDecode/ID[<07C2C8A3B4D5AB48AD3CF82D37148FC3><12CBD5111C3A8843A23A5E0E30F7A7E5>]/Index[140 25]/Info 139 0 R/Length 91/Prev 120607/Root 141 0 R/Size 165/Type/XRef/W[1 3 1]>>stream should be reported. Also, coding for prolonged care services gets another overhaul with revised codes and guidelines. CMSs 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen collection. endstream endobj 598 0 obj <>/Metadata 27 0 R/Pages 595 0 R/StructTreeRoot 64 0 R/Type/Catalog/ViewerPreferences<>>> endobj 599 0 obj <>/MediaBox[0 0 612 792]/Parent 595 0 R/Resources<>/ExtGState<>/Font<>/Pattern<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 600 0 obj <>stream for Commercial & Medicare payor. The COVID-19 public health emergency will expire on May 11, 2023. Answer: The appropriate code to be reported is %%EOF If so, would modifiers be needed? 140 0 obj <> endobj Privacy Policy | Terms & Conditions | Contact Us. Mary. Contact your local third-party payer directly to Any healthcare professional authorized to do so under state law may order COVID-19 diagnostic lab tests. Thank you. being submitted. As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. a CodingIntel membership, Last revised April 18, 2022 - Betsy Nicoletti Tags: telehealth. Follow her on Twitter @dustman_aapc. HCPCS/CPT Description DHCS rate . For instance, you should not assume the codes apply only to nasal swabs. (SARS-CoV-2) (Coronavirus disease [COVID-19]), from an individual in a SNF or by If so, what codes would I use? Description. This code is to be used specifically to report the BioFire Respiratory Panel 2.1 test. Updated May 5, 2021 . hbbd```b``k@$bu0,9 &g`P0"K$6@QoR,H7O ? Reimbursement for COVID-19 Specimen Collection. You may bill for both the collection and test if you meet the requirements. %PDF-1.6 % The American Medical Association (AMA) recently released expedited CPT updates that include two new codes, effective April 10, for COVID-19 antibody tests: 86328 Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (e.g., reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]). We have lab personnel collect the specimens on outpatients that come to the Lab as well as lab personnel go to skilled facilities and collect the COVID specimens. These HCPCS codes are: Yes, labs can bill specimen collections, as well as a travel allowance (P9603/P9604) for homebound and non-hospital Part B inpatients, but not for Part A hospital or SNF inpatients. Refer to SPECIAL BULLETIN COVID-19 #151: Laboratory Codes for COVID-19 Testing. Question: Can C9803 be billed when the patient comes to an outpatient hospital department and is observed by trained personnel while they self-collect a specimen for COVID testing? CPT/HCPCS Codes: 86328, 86408, 86409, 86413, . Proper specimen collection is the most important step in the laboratory diagnosis of infectious diseases. Medicare will pay for COVID-19 testing performed by any entity that is (1) certified by CLIA, (2) licensed under state law to perform lab tests, if required, and (3) enrolled in Medicare as a type . Urgent care doing curbside covid testing/ eval. But they could play a role in determining the true prevalence of the illness in a given area and determining who can safely return to normal activities. S%!oP\O&%|T) y( ?I 6l >`s1^H;NPy>JDO,d{d7&;X@wH=]. Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. Anyone who will be reporting G2023 and G2024 should review the interim final rule, particularly starting around page 95, to be sure they have viewed the official requirements, including the definition of homebound. Resubmit returned claims as a packaged service to include C9803, as appropriate. Just the Latest COVID-19 Codes. not both be reported on the same claim. Use CPT 99211 to bill for a COVID-19 symptom and exposure assessment and specimen collection provided by clinical staff incident-to the supervising physicians or NPPs services. o This code will not be reimbursed when it is billed with an office visit or specimen collection code. 237 0 obj <>/Encrypt 215 0 R/Filter/FlateDecode/ID[<75989C3348299A4AA54869724C868AC4><93F59F8A5A95D54F9FF32F74EA23353A>]/Index[214 38]/Info 213 0 R/Length 112/Prev 233903/Root 216 0 R/Size 252/Type/XRef/W[1 3 1]>>stream the following CPT or HCPCS codes: HCPCS code G2023: Specimen collection for COVID19 [severe acute respiratory syndrome coronavirus 2 (SARS- -CoV-2)], any specimen source. The PCP can bill an E/M code if the visit is for the specimen collection only, and not if it is done during a scheduled visit. We are looking for thought leaders to contribute content to AAPCs Knowledge Center. Are you a coder, biller, administrator, SPECIAL BULLETIN COVID -19 #203: NC . do not constitute an exhaustive list of all state and federal regulatory requirements applicable to a drive-through COVID-19 specimen . She has been a self-employed consultant since 1998. 0 Can this specimen collection code G2023 and 87635 be billed on each individual patient samples that we collected in our Lab and also from nursing home.. (SARS-CoV-2) (Coronavirus disease [COVID-19]), any specimen source She has explored the ins and outs of coding for multiple specialties, particularly radiology, cardiology, and oncology. %PDF-1.6 % To learn more, view our full privacy policy. Was the sample for the test personally collected You cannot bill for specimen collection when it is collected by an untrained individual. Copyright 2023, AAPC CMS has approved the use of this code for new patients, as well as established patients, when used for specimen collection. There is no unique CPT code for specimen collection for COVID-19, much like there is no such code for specimen collection for influenza. Centrifuge print within 24 hours of collection. COVID-19 Telehealth Billing Guide for Medi-Cal ManagedCare Page 3 of 4 . I know that specimen collection code 99000 is not paid by most payers, and I understand that collecting this specimen costs practices significantly. up|q5fx=zmpkq~rFKs-;e1[Z{23f@Qor?8)~-750p40*ut }($2 B@Q 60x 9 i @ A%%9 @ urgent care or emergency room and is not separately billable with applicable CPT/HCPCS codes on the inpatient claim. So far, I have found some reference to this here https://www.bcbsnd.com/coronavirus/covid-19providers/billing. COVID-19 Testing and Specimen Collection at Pharmacies As of 12/16/2021 Updates are highlighted The following guidance shall continue to remain in effect in accordance with the Public Readiness and Emergency Preparedness Act (PREP Act) for licensed pharmacists to: order COVID-19 tests, approved by the Food and Drug Administration (FDA), to The effective date for 0202U, per the AMA, is May 20, 2020. CPT and HCPCS codes should Blood sample collections are reported with CPT code 36415 (Collection of venous blood by venipuncture) or 36416 (Collection of capillary blood specimen, e.g., finger, heel, ear stick). Such testing should employ either a nucleic acid amplification test (NAAT) or an antigen test to detect SARS-CoV-2. If more than one reagent strip is used, modifier 59 (distinct procedural service) should be appended to the code for the second reagent strip assay to identify two distinct analyses were performed. G2024, specimen collection for severe acute respiratory syndrome coronavirus2 CPT had previously recommended this. She holds a Bachelor of Science degree in Media Communications - Journalism. Thanks! CPT 99070 (supplies and materials [except spectacles], provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered [list drugs, trays, supplies, or materials provided]) should not be reported with E/M and COVID-19 specimen collection codes. * This billing requirement and associated reimbursement applies to claims submitted on CMS 1500 claims forms, UB04 or electronic equivalent . Medicare will allow payment for COVID-19 specimen collection billed by qualifying practitioners with CPT code 99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Here is a review of the codes: Codes and Descriptions: U0001 . The only variation between the G2023 and G2024 code descriptors is this wording in G2024: from an individual in a skilled nursing facility or by a laboratory on behalf of a home health agency. Part A providers can use on claims for HCPCS C9803 "Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [COVID-19]), any specimen source". Collection & Preparation. %PDF-1.6 % For CHHA use only. %%EOF What CPT, HCPCS, ICD-10 and other codes should I be aware of related to COVID-19? These fees are billable if the specimen is collected by trained lab personnel from a homebound or non-hospital inpatient. Thanks. Back. (MLN Connects June 18, 2020). 597 0 obj <> endobj Find guidelines for healthcare providers and local and state physical departments to collecting, handling, and testing clinical specimens by COVID-19. endstream endobj 560 0 obj <>/Metadata 23 0 R/OCProperties<>/OCGs[578 0 R]>>/Outlines 56 0 R/PageLayout/SinglePage/Pages 557 0 R/StructTreeRoot 69 0 R/Type/Catalog>> endobj 561 0 obj <>/Font<>/Properties<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 562 0 obj <>stream Inpatient claims do not apply coinsurance . Outpatient Prospective Payment System (OPPS) claims receive on or after May 1, 2020 with coronavirus specimen collection codes G2023 and G2024 will be returned with edit W7062. endstream endobj 1791 0 obj <. More information on testing codes is available here. endstream endobj 141 0 obj <. 164 0 obj <>stream The G2023 code is only for homebound? Deborah Marsh, JD, MA, CPC, CHONC, is a senior development editor at AAPC. specimen collection for COVID-19 testing using the G2023 or G2024 Level II HCPCS codes noted below. Specimen collection and testing personnel requirements. Reasonable coders and practitioners can and do disagree about when a separate E/M service is warranted on the day of a minor procedure. The Centers for Medicare & Medicaid Services (CMS) has not weighed in on this new code, as yet. 0 Since the current CPT . endstream endobj startxref

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