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Additional ICD codes effective Jan 1 2021 for Covid are :
- – Z11.52 – Encounter for screening
- – Z20.822 – Contact with and (suspected) exposure
- – Z86.16 – Personal history
- – M35.81 – Multisystem inflammatory syndrome
- – M35.89 – Other specified systemic involvement of connective tissue
- – J12.82 – Pneumonia
Unique CPT code to report laboratory testing services:
CPT 87635 (Infectious agent detection by nucleic acid)
New vaccine-specific codes to report immunizations : Severe acute respiratory syndrome coronavirus 2 :
- – CPT 91300 – 30 mcg/0.3mL dosage, diluent reconstituted, for intramuscular use.
- – CPT 91301 – 100 mcg/0.5mL dosage, for intramuscular use.
- – CPT 91302 – 5×1010 viral particles/0.5mL dosage, for intramuscular use. Chimpanzee adenovirus Oxford 1 (ChAdOx1) vector
- – CPT 91303 – 5×1010 viral particles/0.5mL dosage, for intramuscular use. Adenovirus type 26 (Ad26) vector
Tele Call Visit
- CPT 99441 (5-10min), CPT 99442 (11-20min), CPT 99443 (21-30min)
Telehealth Audio and Video Visit
OH state :
- – For Insurance Medicare, RR Medicare, Humana, Tricare, UHC, Aetna – POS 11 & Modifier 95
- – For Cigna – POS 11 & Modifier GQ
- – For Medicaid – POS 11 & Modifier GT
- – For Insurance BCBS, Priority Health, Total Health – POS 2 & Modifier 95
- – For Aetna Better Health, Medicaid – POS 2 & Modifier GT
Challenges during Covid
- Hospital Inpatient visits reduced.
Cost Share Waiver 2021
- – Aetna – End by 01/31/21
- – Optum – End by 03/05/21
- – Beacon – End by 03/05/21
- – Cigna – No waiver
- – Healthfirst & Fidelis – Waiver applicable