COVID-19: New Laboratory Codes, Updated 04/21/20
May 13, 2020MO HealthNet continues to monitor Centers for Medicare and Medicaid Services (CMS) guidance related COVID-19 testing procedures. The table below lists the COVID-19 testing procedure codes MO HealthNet currently covers as well as their effective dates, max units, and rates.
|
Code |
Description |
Effective with |
Max |
Rate |
|
U0001 |
CDC 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
2/1/2020 |
1 |
$36.00 |
|
U0002 |
2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19) using any technique, multiple types or subtypes (includes all targets) |
2/1/2020 |
1 |
$51.00 |
|
G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3/1/2020 |
1 |
$23.46 |
|
G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), from an individual in a skilled nursing facility or by a laboratory on behalf of a home health agency, any specimen source |
3/1/2020 |
1 |
$25.46 |
|
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 |
3/13/2020 |
1 |
$51.00 |
|
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. |
3/18/2020 |
1 |
$100.00 |
|
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. |
3/18/2020 |
1 |
$100.00 |
Source: https://dss.mo.gov/mhd/providers/pages/provtips.htm#200421-lab-testing-codes