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Michigan Medicaid - MDHHSMedicaid · Billing Codes · Provider Bulletin · MIHigh impact

MSA 20-57

Act
immediately
Effective date
Mar 10, 2020
Identified
Jun 20, 2026

Summary

Michigan Medicaid now reimburses COVID-19 specimen collection services using specific CPT and HCPCS codes for various provider types including practitioners, hospitals, pharmacists, and laboratories. This creates new billable services for COVID-19 testing specimen collection with designated diagnosis codes.

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What to do

immediately · 4 steps
01Update billing system to include new COVID-19 specimen collection codes 99000/99001 for practitioners, C9803 for outpatient hospitals, and G2023/P9603 for laboratories.
02Configure system to require diagnosis codes Z03.818, Z11.59, or Z20.828.
03Train staff that specimen collection is only billable separately when no other E&M service is provided same day.
04Ensure pharmacists are enrolled as Rendering Only providers in CHAMPS system.

Codes mentioned

9900099001C9803G2023P9603Z03.818Z11.59Z20.828

Original notice

MSA 20-57
michigan.gov · Always check the source before changing claims.
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