BC Advantage - 2021 Issue 3

COVID-19: Revised Clinician Codes Accepted with CS Modifier

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 G2252CPT codes 98970, 98971, and 98972 (These replace HCPCS codes G2061 - G2063, which are accepted for services provided...

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