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November 2020

COVID-19 CPT codes added

American Medical Association has added some new COVID-19 codes. The codes, effective dates and Blue Cross Blue Shield of Michigan’s coverage decisions are below.

Pathology and Laboratory

Code Change Coverage comments Effective date
0225U Added
  • Not covered for Blue Cross commercial
  • Covered for Medicare Plus Blue℠ in alignment with the Centers for Medicare & Medicaid Services
Aug. 10, 2020
0226U Added
  • Not covered for Blue Cross commercial
  • Covered for Medicare Plus Blue in alignment with CMS
Aug. 10, 2020
86408 Added
  • Not covered for Blue Cross commercial
  • Covered for Medicare Plus Blue in alignment with CMS
Aug. 10, 2020
86409 Added
  • Not covered for Blue Cross commercial
  • Covered for Medicare Plus Blue in alignment with CMS
Aug. 10, 2020

None of the information included in this article is intended to be legal advice and, as such, it remains the provider’s responsibility to ensure that all coding and documentation are done in accordance with all applicable state and federal laws and regulations.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

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