Resources on COVID-19 Billing and Coding
Items in green indicate the newest information available.
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COVID-19 Sites to Bookmark
COVID-19 Information Pertinent to Diagnosis Coding
- CMS FAQs, some related to diagnosis coding, updated on May 27, 2020
- CDC Official coding guidelines for claims addresses coding for confirmed cases, sequencing etc, April 1,2020 – September 30, 2020
- Diagnosis coding, CC, MDC, MS-DRG information – Effective April 1, 2020
- New ICD -10-CM code for the 2019 Novel Coronavirus (COVID-19), April 1, 2020; Effective March 18, 2020
- CMS FAQs: some relating to diagnosis coding
- Use of Modifier CR, CS and DR condition code
- ICD 10 CM diagnosis coding effective for cases February 20, 2020 – April 1, 2020
- Supplemental ICD-10-CM Coding guidance for cases February 20, 2020 – April 1, 2020
- CDC home page for ICD-10-CM information
- AHA on-demand webinar on diagnosis coding
COVID-19 Information Pertinent to Laboratory
- CMS summary document of available COVID-19 lab testing methods, CLIA certification level required to perform each test, testing site information and current reimbursement rates
- CMS FAQs, some related to lab testing, updated on May 27, 2020
- MAC Pricing for U0001-U0004; 87635, 86769, 86328, published by CMS on May 19, 2020
- Lab Tests for which Medicare Does Not Require a Practitioner Order During the PHE, dated May 12, 2020
- CPT Assistant for antibody testing CPT codes 86328 and 86769
- CMS Ruling CMS-2020-01-R
- CMS FAQs Updated April 9, 2020 some relating to Laboratory
- CMS FAQs March 23, 2020: some that relate to Laboratory
- Lab test pricing by MAC
- AMA main page for new Lab code 87635
- Link to AMA CPT Assistant for new lab code 87635
- FAQs related to laboratory under the COVID-19 PHE
COVID-19 Information Pertinent to Telehealth and Other Communication Technology-Based Services
- CMS FAQs, some related to telehealth and CTBS services, updated on May 27, 2020
- CMS FAQs Updated April 9, 2020: Some relating to Telehealth
- Non Face-to-Face Services FAQ
- CMS FAQs March: Some relating to Telehealth
- Main page for list of Telehealth services
- CMS Q&A specific to telehealth
- HHS website that provides information on HIPAA compliant video communication products
- Information to electronic links to reliable sources of information regarding telehealth and telemedince, mostly directed toward providers who may want to establish a permanent telemedicine program
- CMS Telehealth Video
COVID-19 Information Pertinent to Waivers
- CMS FAQs, some related to waivers, updated on May 27, 2020
- Special Edition MLN Regarding Swing Bed Waivers, dated May 20, 2020
- CMS FAQs Updated April 9, 2020 FAQs: some related to waivers
- Current Medicare Waivers By Provider Type
- Medicaid Waivers by State
- Directions on how to request a waiver
- Information on waivers and those who bill Medicare Fee for Service
COVID-19 Information pertinent to the CMS Interim Final Rules on COVID-19 PHE
- CMS FAQs, some related to clarification of the IFC rules, updated on May 27, 2020
-
Summary of PHE Policies Impacting Medicare Physician Fee Schedule, dated May 22, 2020
- Summary of Changes Related to Hospital Billing for Outpatient Service Rendered to Patients in Their Homes as Detailed in the CMS COVID-19 Interim Final Rule, CMS-5531-IFC, Published on April 30, 2020 (CMS-5531-IFC)
- CMS Updated April 9, 2020 FAQs for all types of providers
- CMS FAQs March 17, 2020 for all types of providers
- Link to the Federal Register copy of the interim final rule for the COVID-19 PHE (CMS-1744-IFC)
- Link to the CMS website for the interim final rule for the COVID-19 PHE (CMS-1744-IFC)
COVID-19 Information Pertinent to changes to NCDs and LCDs
COVID-19 Information pertinent to EMTALA
COVID-19 Information Pertinent to CMS Accelerated and Advanced Payment Program
COVID-19 Information Pertinent to Families First Coronavirus Response Act (FFCRA)
COVID-19 Claims Reimbursement for the Uninsured
COVID-19 Information Pertinent to Pricing Transparency Requirements for COVID-19 Diagnostic Laboratory Tests
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