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CommercialCoverageMedium impact

Antigen Testing for Rapid Detection of Coronavirus Disease 2019 (COVID-19)

Blue Cross & Blue Shield of Mississippi·MS·Medical Policy
Effective date
May 12, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Effective May 12, 2023, Blue Cross Blue Shield of Mississippi only covers FDA-approved COVID-19 antigen tests within 5 days of symptom onset. Tests under Emergency Use Authorization (EUA) are now considered investigational and not covered, except for Federal Employee Program members who maintain full coverage.

Action Required

Action needed
Immediately: Verify all COVID-19 antigen tests are FDA-approved (not just EUA) before billing. Stop billing EUA-authorized tests except for Federal Employee Program members. Update billing system to flag tests performed >5 days after symptom onset as not medically necessary. Train staff to verify FDA approval status and symptom timeline documentation before claim submission.

Affected Billing Codes

87426
D0604
87811
87428
87812
R51.9
R05.1
R05.8
R05.9