Update on Claims for COVID-19 Testing

As per CMS PHE guidelines, National Government Services is modifying internal claim editing to permit the following COVID-19-related procedure codes to process as potentially payable without ICD-10 diagnosis restrictions, including screening diagnosis codes:

• Diagnostic panels: U0001- U0004

• Laboratory studies: 87635, 86328 and 86769

• Specimen collection codes: G2023 and G2024

Mass adjustments are in process for claims previously denied due to diagnosis editing. Providers are reminded that no appeals are necessary relative to these claim denials and no other provider action is necessary at this time.

Posted 6/9/2020