Limits Removed from ICD-10-CM Code for Aid Code V2

March 30, 2021

Effective for dates of service on or after March 18, 2020, all policy for aid code V2 that limits services billed with ICD-10-CM diagnosis code U07.1 is removed.

Providers should refer to the latest approved Centers for Medicare & Medicaid Services (CMS) ICD-10-CM for eligible diagnoses related to coronavirus disease 2019 (COVID-19), when submitting claims for enrolled individuals in aid code V2 (COVID-19 Uninsured Group). Providers are responsible for submitting claims with accurate and appropriate ICD-10-CM codes. Information and downloads for these codes can be found on the ICD-10 page of the CMS website.

An Erroneous Payment Correction (EPC) will be implemented to reprocess denied claims with dates of service on or after March 18, 2020, that were submitted for aid code V2 without ICD-10-CM diagnosis code U07.1, but were appropriately submitted based on the applicable COVID-19 CMS-approved ICD-10 codes. Providers may also elect to use this updated billing policy to resubmit previously denied claims as described in the CIF Submission and Timeliness Instructions section of the Part 2 – Medi-Cal Billing and Policy manual.