As the U.S. responds to a growing threat of the 2019 novel coronavirus, CMS and other organizations are clarifying how to code for testing and treatment of the disease.
Six things to know:
1. CMS created a new Healthcare Common Procedure Coding System code for providers and labs testing patients for SARS-CoV-2, or severe acute respiratory syndrome coronavirus 2.
2. Providers can use the HCPCS code U0001 to test patients for coronavirus using the CDC’s 2019 novel coronavirus real-time RT-PCR Diagnostic Test Panel.
3. Medicare’s claims processing system will start accepting the code April 1 for dates of services Feb. 4 onward.
4. Audrey Howard, senior outsource services consultant with 3M Health Information Systems, reviewed about the current ICD-10-CM codes and how providers could use to code for the virus.
5. For classifying coronavirus not associated with SARS, providers could use:
- Pneumonia due to coronavirus: J12.89 and B97.29
- Sepsis due to coronavirus: A41.89 and B97.29
- Other infection caused by coronavirus: B34.2
- Contact with and (suspected) exposure to other viral communicable diseases: Z20.828
6. For classifying the SARS-associated coronavirus, providers could use:
- Pneumonia due to SARS-associated coronavirus: J12.81
- Sepsis due to SARS-associated coronavirus: A41.89 and B97.21