COVID-19 LAB CODING AND BILLING

information updated May 7, 2020

Coding and billing for COVID-19 lab screening, testing, and treatment. 

SCREENING

Providers who are providing COVID-19 Screening  to determine whether testing is recommended are to use the following diagnosis code.

Aetna

U07.1

Anthem

Blue Shield

U07.1

U07.1

CIGNA

UHC

U07.1

U07.1

TESTING

COVID-19 testing AFTER the patient is screened by a health care professional who has determined testing is recommended. 

Providers using the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel may bill for this test and use the following diagnosis code.

Aetna

U0002

Anthem

Blue Shield

U0002

U0002

CIGNA

UHC

U0002

U0002

Providers using 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19) using any technique, multiple types or subtypes (includes all targets) may bill for this test and use the following diagnosis code.

Aetna

U0002

Anthem

Blue Shield

U0002

U0002

CIGNA

UHC

U0002

U0002

AMA released a new CPT code to use for testing and billing for COVID-19 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) when billing for this test use the following CPT code.

Aetna

87365

Anthem

Blue Shield

87365

86328

86769

87365

CIGNA

UHC

87365

86328

86769

87365

TREATMENT

When billing treatment for patients diagnosed with COVID-19, the claim must include the following diagnosis code.

Aetna

U07.1

Anthem

Blue Shield

U07.1

U07.1

CIGNA

UHC

U07.1

U07.1

©2020 by CHLA Health Network. Proudly created with Wix.com