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MedicaidBilling CodesMedium impact

COVID-19: COVID Testing and Specimen Collection Codes - Revised

Missouri Medicaid (MO HealthNet)·MO · Family Medicine, Internal Medicine·Provider Notice
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

MO HealthNet updated COVID-19 testing and specimen collection billing codes with rate changes effective January 1, 2021, and added pharmacists as eligible providers. High throughput testing codes U0003 and U0004 had rates reduced from $100 to $75, and new rapid turnaround code U0005 was added at $25 for results within 2 calendar days.

Action Required

Action needed
Immediately: Update billing system with new COVID-19 testing rates - reduce U0003 and U0004 from $100 to $75, add new code U0005 at $25 for rapid results within 2 days. Add pharmacists and pharmacies as eligible providers for COVID-19 testing codes effective January 1, 2021. Ensure separate claims are submitted for COVID-19 tests when performed with other lab services on same date.

Affected Billing Codes

U0001
U0002
87635
86328
86769
87426
86408
86409
86413
87636
87637
87811
87428
U0003
U0004
U0005
99211
C9803
G2023
G2024