Billing Beat

Medicaid Delaware- Claim Adjustment for Procedure Codes U0002 and 87635

July 7, 2021

Codes and Description
U0002 – COVID-19 LAB TEST NON-CDC
Rate change effective February 4, 2020
Rate – $50.28
DMAP will be adjusting paid claims with a date of service beginning February 4, 2020, and a claim submission date beginning January 29, 2021 (date rate was entered into the Delaware Medicaid Enterprise System [DMES]).
87635 – IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TECHNIQUE
Rate change effective March 13, 2020
Rate – $50.28
DMAP will be adjusting paid claims with a date of service beginning March 13, 2020, and a claim submission date beginning January 29, 2021 (date rate was entered into the Delaware Medicaid Enterprise System [DMES]).
This information will appear on the Remittance Advice (RA) dated June 28, 2021, and the claim numbers will begin with ’52’.
 

Source: https://medicaidpublications.dhss.delaware.gov/docs/search/EntryId/1080

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