Revenue Performance Advisor and COVID-19

Change Healthcare has been closely monitoring coding changes related to COVID-19 to provide general guidance specific to codes used within healthcare transactions involving patient diagnosis, care, or treatment.  The following are ICD-10, HCPCS, and AMA code additions relative to COVID-19, along with actions required and links to additional information.

ICD-10 Code Addition for COVID-19

On February 20, 2020, the CDC released a notification for a new ICD-10 code for the 2019 Novel Coronavirus (COVID-19) for reporting that will be effective October 1, 2020.  For more information read the CDC Announcement: New ICD-10-CM code for the 2019 Novel Coronavirus (COVID-19), October 1, 2020.

New HCPCS Code Additions for COVID-19

There have been two HCPCS code announcements from the CMS related to COVID-19 additions, including: 

  1. HCPCS Code U0001: On February 13, 2020, the CMS announced the addition of code U0001 for providers and laboratories to bill for laboratory testing of patients for SARS-CoV-2.
  2. HCPCS Code U0002: On March 5, 2020, the CMS announced the addition of code U0002 for providers and laboratories to bill for laboratory testing of patients for COVID-19.

For more information visit the CMS Fact Sheet: Coverage and Payment Related to COVID-19 Medicare.

New AMA CPT Code 87635 for COVID-19

On March 13, 2020, the AMA announced the addition of CPT code 87635 for laboratory testing services that detect the presence of COVID-19 effective immediately.

For more information visit the AMA Press Release: New CPT code announced to report novel coronavirus test.

Action Required

Please ensure your clinical and administrative provider software systems are updated to support these recent code set updates. Reach out to your software vendor(s) as applicable.

New information is being published daily as a response to COVID-19; please continue to monitor CMS and your payer sites for the latest information. Refer to your MAC and payer guidelines to determine if services are covered.

Action Taken

Change Healthcare has obtained all code set updates specific to COVID-19 for immediate deployment across all Change Healthcare systems, solutions, and services. We continue to monitor this situation and will respond accordingly as conditions change.

Additional Resources