All providers caring for our members
We recently added the following updates to our COVID-19 Information page for providers. For complete details, visit the page and look at content under the categories noted in bold below.
Per state mandate, Chapter 260 of the Acts of 2020 – Patients First Act, cognitive rehabilitation for cognitive impairment resulting from COVID-19 is covered in the outpatient setting.
PCR or antigen testing to detect SARS-CoV-2 is not covered for over-the-counter at-home COVID test kits. (Only provider-ordered, medically necessary tests are covered.)
We added the following codes that were effective January 1, 2021. Find the complete list on our COVID-19 Information page.
|If patient is||Please use||Definition|
|Symptomatic or has been exposed to COVID-19||Z11.52||Encounter for screening for COVID-19 (Effective January 1, 2021)|
|Z20.822||Contact with and (suspected) exposure to COVID-19 (Effective January 1, 2021)|
|Diagnosis code||Service description|
|J12.82||Pneumonia due to COVID-19 (Effective January 1, 2021)|
|M35.81||Multisystem inflammatory syndrome (Effective January 1, 2021)|
|M35.89||Other specified systemic involvement of connective tissue (Effective January 1, 2021)|