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MedicaidBilling CodesMedium impact

COVID-19: COVID Testing and Specimen Collection Codes

Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Feb 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

MO HealthNet has established coverage for COVID-19 testing and specimen collection with specific billing codes, rates, and provider requirements. Testing codes range from $36-$100 with specimen collection codes from $15.31-$25.46, all requiring appropriate CLIA certificates.

Action Required

Action needed
Immediately: Billing team must update system with COVID-19 testing codes U0001, U0002, 87635, U0003, U0004, 86328, 86769 and specimen collection codes 99211, C9803, G2023, G2024 with specified rates and effective dates. Verify providers have appropriate CLIA certificates before billing these codes. Claims without proper CLIA certification will be denied.

Affected Billing Codes

U0001
U0002
87635
U0003
U0004
86328
86769
99211
C9803
G2023
G2024