MedicaidReimbursementMedium impact
Provider Bulletin - Updated Billing Guidance for Procedure Codes U0003 and U0004 pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated reimbursement for COVID-19 high-throughput testing codes U0003 and U0004 to $75.00 each, and added new add-on code U0005 at $25.00 when specific turnaround time criteria are met. Labs must complete tests within 2 calendar days and meet monthly performance thresholds to bill the add-on code.
Action Required
Effective January 1, 2021: Billing teams at independent laboratories and outpatient hospitals must update fee schedules for U0003 and U0004 to $75.00 each, add new code U0005 at $25.00, and implement tracking systems to monitor test completion times. Document monthly performance metrics showing 51% of high-throughput COVID-19 tests completed within 2 calendar days to qualify for U0005 add-on billing. Maintain documentation for post-payment reviews.