Summary
Michigan Medicaid updated COVID-19 ICD-10 coding guidance, introducing new diagnosis codes Z1152 and Z20822 for dates of service starting January 1, 2021. Services billed with these COVID-19 related diagnosis codes are exempt from co-pays, and providers must refund previously collected co-pays for affected claims.
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What to do
immediately · 3 steps
01Update billing system to use new ICD-10 codes Z1152 (COVID-19 screening) and Z20822 (COVID-19 exposure) for dates of service January 1, 2021 onwards.
02Review previously submitted claims with COVID-19 diagnosis codes where co-pays were collected and refund co-pay amounts to Michigan Medicaid beneficiaries.
03Affected institutional and pharmacy claims will be automatically reprocessed, but pharmacies must resubmit claims to receive full reimbursement.
Codes mentioned
Z03.818Z20.828Z11.59Z1152Z20822
Original notice
MSA 20-49
michigan.gov · Always check the source before changing claims.