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COVID-19 Information page updates: Cognitive rehab, testing coverage, and diagnosis codes
February 11, 2021

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.

Vaccines and treatment: cognitive rehabilitation

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.

COVID-19 testing and care
Testing coverage

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.)

Diagnosis codes

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)