COVID-19 Specimen Collection is a New Medi-Cal Benefit

May 12, 2020

Effective for dates of service on or after March 1, 2020, HCPCS Code C9803 (hospital outpatient clinic visit specimen collection for Severe Acute Respiratory Syndrome Coronavirus 2 [SARS-COV-2] [Coronavirus Disease COVID-19]) is a new Medi-Cal benefit. C9803 has a frequency limit of two collections per day and can be billed with any ICD-10-CM code. This code is a Presumptive Eligibility (PE) service and is not reimbursable when billed with codes G2023 or G2024.

An Erroneous Payment Correction (EPC) will be initiated to reprocess affected claims.

Specific billing policy related to C9803 will be released in a future Medi-Cal Update.