Billing Beat

UHC – Update: Claim Coding, Submissions and Reimbursement

February 8, 2021

On or after Jan. 1, 2021 — HCPCS U0005:

• This code should be used when billing for add-on payment to laboratories for a COVID-19 diagnostic test run on high throughput technology if the laboratory a) completes the test in 2 calendar days or less, and b) completes the majority of their COVID-19 diagnostic tests that use high throughput technology in 2 calendar days or less for all of their patients (not just their Medicare patients) in the previous month. *Effective dates of codes were determined by reference to CMS Ruling No. (CMS-2020-01-R).

Source: https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-testing/covid19-testing-claim-coding-submissions.html

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