Summary
Michigan Medicaid will temporarily reimburse Tribal Health Centers and Tribal FQHCs for COVID-19 specimen collection services using CPT codes 99000 and 99001 with specific ICD-10 diagnosis codes. This supplements existing COVID-19 specimen collection policy MSA 20-57 and requires that all other financial resources be exhausted before billing Medicaid.
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What to do
Action · 2 steps
01For Tribal Health Centers and Tribal FQHCs only: Update billing systems to allow CPT codes 99000 and 99001 for COVID-19 specimen collection on institutional claim formats with required ICD-10 diagnosis codes Z03.818, Z11.59, or Z20.828.
02Ensure all other funding sources are exhausted before billing Medicaid and that no other qualifying clinic visit occurs on the same date of service.
Codes mentioned
9900099001Z03.818Z11.59Z20.828
Original notice
MSA 20-74
michigan.gov · Always check the source before changing claims.
Related changes
See all Michigan Medicaid - MDHHS changes →MSA 20-57HighEffective Mar 10, 2020 · Provider BulletinMSA 21-03MediumEffective Jan 1, 2021 · Provider BulletinMSA 20-49MediumEffective Jan 1, 2021 · Provider BulletinMMP 24-50: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code UpdatesHighEffective Oct 1, 2024 · Claims & BillingBrowse every Michigan Medicaid - MDHHS change in the policy list