Alerts

Additional Testing and Specimen Collection Procedure Codes for COVID-19 Coverage

5/12/2020

<<<<NOTE: This ALERT is a follow-up to the ALERT dated March 13, 2020>>>>


PDF Version


TO:  Physicians, FQHCs, RHCs, Independent Labs, Hospitals, and ADPH

 

   RE:   Additional Laboratory Testing and Specimen Collection Codes for Coronavirus    
   (COVID-19)

 

   As Medicaid continues to monitor the outbreak of the Coronavirus Disease 2019 (COVID-19) in  
   Alabama, we are including additional testing and specimen collection procedure codes for coverage.

 

  • U0003 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID19]), 2 amplified probe technique, making use of high throughput technologies as described by CMS-2020-01-R

 

  • 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

 

  • G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), any specimen source

 

  • 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

 

  • 99001 Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (not associated with E/M visit)

 

  The Medicaid claims processing system will be able to accept these codes no later than May 22,  
  2020 for dates of service on or after March 1, 2020.

 

  During the COVID-19 emergency, it is important to file claims as quickly as possible to ensure  
  payment from Medicaid is made to Medicaid providers close to the date of service. The Centers for
  Medicare and Medicaid Services has increased the federal matching percentage for the emergency
  time frame, but states can only receive the increased match on claims that are paid during the  
  emergency.

 

  If you have questions, please visit the Medicaid website at www.medicaid.alabama.gov, or call the 
  Medicaid Fiscal Agent at 1-800-688-7989.