C9803 Insurance Policy Changes

HCPCS C9803 is officially defined as "Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source." HCPCS C9803 is referenced in 3 tracked payer policy changes from Blue Cross Blue Shield of Wyoming and Blue Cross NC. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS C9803 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.