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Blue Cross Blue Shield of WyomingCommercial · Billing Codes · Coding · WYMedium impact

NEW! Screening for COVID-19 Diagnosis Guidance

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 19, 2026

Summary

BCBS Wyoming has updated COVID-19 diagnostic testing coding guidance with new ICD-10 codes and clarified coverage rules. The policy specifies that asymptomatic and pre-surgical COVID-19 testing is covered when medically appropriate, but not for return-to-work or surveillance purposes.

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What to do

immediately · 3 steps
01Billing team must update COVID-19 diagnostic test claims to use the specific ICD-10 codes outlined in the policy based on patient presentation and exposure status.
02Update billing system rules to ensure proper code selection - use Z01.818 for pre-surgical screening, Z11.52 for general asymptomatic screening, symptom codes (R05, R06.02, R50.9) for symptomatic patients, and U07.1 for positive asymptomatic cases.
03Include U07.1 with COVID-related diagnosis codes J12.82, M35.81, and M35.89 to waive cost share.

Codes mentioned

Z03.818Z20.828Z20.822Z01.818Z11.59Z11.52R05R06.02R50.9U07.1J12.82M35.81M35.89

Original notice

NEW! Screening for COVID-19 Diagnosis Guidance
bcbswy.com · Always check the source before changing claims.
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