MedicaidBilling CodesMedium impact
COVID-19: COVID Testing and Specimen Collection Codes - Updated
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Feb 1, 2020
We identified it
Jun 20, 2026
Summary
MO HealthNet Division has updated their covered COVID-19 testing and specimen collection codes with specific billing requirements, rates, and effective dates. The policy covers 8 testing codes (U0001-U0004, 87635, 86328, 86769, 87426) and 4 specimen collection codes (99211, C9803, G2023, G2024) with rates ranging from $15.31 to $100.00.
Action Required
Immediately: Billing team must verify CLIA Certificate requirements for all COVID-19 testing codes before billing. Update billing system with correct rates for each code (U0001: $36.00, U0002: $51.00, 87635: $51.00, U0003: $100.00, U0004: $100.00, 86328: $45.23, 86769: $42.13, 87426: $45.23). Configure max unit limits (2 units for testing codes U0001-U0004 and 87635, 3 units for antibody codes 86328, 86769, 87426, 1 unit for specimen collection codes). Ensure proper provider type restrictions are enforced for each billing location type.