When does this change take effect?

This change is effective May 12, 2023.

Which billing codes are affected?

The following codes are affected: G2023, U0003, U0004, U0001, U0002.

MedicaidBilling CodesMedium impact

MAB2023053003

Q: Who is affected by this change?

This affects Pennsylvania Medicaid (DHS) Pharmacy, Pathology, Family Medicine, Internal Medicine providers in PA on Medicaid plans.

Pennsylvania Medicaid (DHS)·PA · Pharmacy, Pathology, Family Medicine +1 more·Provider Bulletin

Effective date

May 12, 2023

We identified it

Jun 20, 2026

Days to comply

—

Summary

Pennsylvania Medicaid is discontinuing three COVID-19 related billing codes (G2023, U0003, U0004) effective May 12, 2023, following the end of the public health emergency. Providers can continue billing COVID-19 lab tests using codes U0001 or U0002.

Action Required

Action needed

Immediately: Stop billing codes G2023, U0003, and U0004 for Pennsylvania Medicaid patients with dates of service on or after May 12, 2023. Update billing system to reject these codes for PA Medicaid claims. For COVID-19 laboratory testing, use codes U0001 or U0002 instead. Verify current MA Program Fee Schedule at provided website link.

Affected Billing Codes

G2023

U0003

U0004

U0001

U0002

Related policy hubs

Pennsylvania Medicaid (DHS) policies PA policy changes Pharmacy Pathology Family Medicine Internal Medicine Code G2023 Code U0003 Code U0004 Code U0001 Code U0002