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May 2020

Here are some COVID‑19 billing guidelines

The Centers for Disease Control and Prevention has introduced a new diagnosis code for confirmed COVID‑19 cases, effective April 1, 2020.

Diagnosis codes to use Through March 31, 2020 April 1, 2020, and after
For confirmed COVID‑19

J12.89, J20.8, J22 or J80 in the primary diagnosis field and B97.29 in the secondary diagnosis field

 U07.1 as the primary diagnosis
For suspected COVID‑19

Z20.828 as the primary diagnosis

 Z20.828

For more information, refer to the announcement from the CDC about the new ICD‑10‑CM code.

For the latest information about COVID‑19, including billing tips, go to our Coronavirus information updates for providers page. Log in to Provider Secured Services, click on BCBSM Provider Publications and Resources and then on Newsletters and Resources. (Or you can find it on BCN Provider Publications and Resources.) You can also find information at bcbsm.com/coronavirus by clicking on For Providers.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2019 American Medical Association. All rights reserved.
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