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COVID-19: Revised Clinician Codes Accepted with CS Modifier

Coding


COVID-19: Revised Clinician Codes Accepted with CS Modifier

Date Posted: Thursday, March 04, 2021

 


Effective March 18, 2020, the Families First Coronavirus Response Act requires Medicare Part B to cover beneficiary cost-sharing for provider visits when a COVID-19 diagnostic test is administered or ordered. CMS updated the list of codes (ZIP) that physicians and non-physician practitioners can use with the Cost-Sharing (CS) modifier.

For dates of service on or after January 1, 2021, through the end of the public health emergency, we’ll accept these codes with the CS modifier:

  • HCPCS codes G2250, G2251, and G2252
  • CPT codes 98970, 98971, and 98972 (These replace HCPCS codes G2061 - G2063, which are accepted for services provided in 2020)  
  • CPT codes 98966, 98967, and 98968 are accepted for services with the CS modifier provided on or after March 18, 2020.

More information about cost-sharing: Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) (PDF) MLN Matters Article

Source: MLN Matters 

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