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MedicaidBilling CodesMedium impact

Addition of COVID19 Proprietary Laboratory Analyses Codes to the Independent Laboratory Fee Schedule pdf

Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
May 20, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) has added 7 new COVID-19 Proprietary Laboratory Analyses (PLA) codes to their Independent Laboratory fee schedule, reimbursing at 100% of Medicare rates. These codes are retroactively effective from various dates in 2020 and will remain covered until COVID-19 is no longer declared a public health emergency.

Action Required

Action needed
Immediately: Billing team must update system to include new COVID-19 PLA codes (0202U, 0223U, 0224U, 0225U, 0226U, 0240U, 0241U) for Connecticut Medicaid claims. Download updated fee schedule from ctdssmap.com and verify reimbursement rates match policy. Ensure analyses performed match exact code descriptors and proprietary test names as required by AMA guidelines.