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CommercialBilling CodesMedium impact

NEW! Screening for COVID-19 Diagnosis Guidance

Blue Cross Blue Shield of Wyoming·WY·Coding
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply

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.

Action Required

Action needed
Immediately: Billing 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. Update 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. Include U07.1 with COVID-related diagnosis codes J12.82, M35.81, and M35.89 to waive cost share.

Affected Billing Codes

Z03.818
Z20.828
Z20.822
Z01.818
Z11.59
Z11.52
R05
R06.02
R50.9
U07.1
J12.82
M35.81
M35.89