Updated Billing Instructions for Certain COVID-19 Services
Originally published April 24, 2020 and updated on April 28, 2020
The Department of Healthcare Services (DHCS) implemented eligibility for coronavirus disease 2019 (COVID-19) on April 8, 2020. Eligibility for COVID-19 will use Aid Code V2 to determine eligibility for these limited benefits. Aid Code V2 is a limited-scope Aid Code that is limited to diagnostic testing, testing-related and treatment services. Including all medically necessary care related to COVID-19, such as the associated office, clinic, or emergency room visits and laboratory services.
Providers must include ICD-10-CM diagnosis code U07.1 on all claims for reimbursement of COVID-19 medically necessary care for eligible individuals covered under aid code V2. Claims submitted without this diagnosis code may not be reimbursed. For more information on ICD-10-CM diagnosis code U07.1, please see the March 26, 2020, NewsFlash article.
For billing related questions, please contact the Telephone Service Center (TSC) at 1-800-541-5555. The TSC is available 8 a.m. to 5 p.m., Monday through Friday, except holidays. Border providers and out-of-state billers billing for in-state providers should call (916) 636-1200.