Date
The MO HealthNet Division (MHD) is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus. The virus has been named "SARS-CoV-2" and the disease it causes has been named "coronavirus disease 2019" (abbreviated "COVID-19").
MO HealthNet continues to monitor Centers for Medicare and Medicaid Services (CMS) guidance related COVID-19 testing procedures. The table below lists the COVID-19 testing procedure codes MO HealthNet currently covers as well as their effective dates, max units, and rates.
Code | Description | Effective with dates of service on or after: |
Max Units |
Rate |
U0001 | CDC 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 2/1/2020 | 1 | $36.00 |
U0002 | 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19) using any technique, multiple types or subtypes (includes all targets) | 2/1/2020 | 1 | $51.00 |
G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3/1/2020 | 1 | $23.46 |
G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), from an individual in a skilled nursing facility or by a laboratory on behalf of a home health agency, any specimen source | 3/1/2020 | 1 | $25.46 |
87635 | Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique | 3/13/2020 | 1 | $51.00 |
U0003 | Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique, making use of high throughput technologies as described by CMS-2020-01-R. | 3/18/2020 | 1 | $100.00 |
U0004 | 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC, making use of high throughput technologies as described by CMS-2020-01-R. | 3/18/2020 | 1 | $100.00 |