The following updates for Covid-19-related codes went into effect Oct. 1, 2021: NEW: U09.9 – Post COVID-19 conditions, unspecified This code is not to be used in cases that are still presenting with active COVID-19. However, an exception is made in cases if...
By: AJ Lech, Client Administrator, Lighthouse Lab Services The UnitedHealthcare Medicare Advantage product will now require a DEX Z-code, effective 10/1/21. Similar to Medicare, the Z-code will be submitted in the Loop 2400. UHC will not require any separate...
After previously stating its intent to stop paying the professional component of clinical pathology (PC/CP), Cigna has reversed course and will continue paying for these services after receiving significant pushback from the College of American Pathologists and others...
Cigna, one of the last remaining payers that reimburses the professional component of clinical pathology, will look to officially end that practice this summer, according to an update posted April 12. In the update to its Modifier 26 Professional Component Policy,...
When re-testing Covid-19 specimens to check for variants, Medicare has indicated you may bill U0004 for the second-run of a high-throughput test. For example, if a specimen tests positive, you may run the sample again to check for variants and bill U0004 (or the same...
The following Covid-19 coding changes are effective as of Jan. 1, 2021: REMOVE: Z20.828 should NO LONGER BE USED for possible or suspected exposure to Covid-19 for dates of service (DOS) on or after Jan. 1, 2021. Z11.52 should NO LONGER BE USED for encounter...
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