New ICD-10-CM and ICD-10-PCS Codes Related to COVID-19

Effective for dates of service on or after April 1, 2022, the Centers for Medicare & Medicaid Services (CMS) has added new ICD-10-CM and ICD-10-PCS codes for diagnoses related to coronavirus disease 2019 (COVID-19). Information and downloads for these codes can be found on the ICD-10 Latest News page of the CMS website. Specific billing policy related to this update will be published in a future Medi-Cal Update.

An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims with dates of service on or after April 1, 2022, to the implementation date of the updated reimbursement rate. Providers may also elect to correct and resubmit previously denied claims as described in the CIF Submission and Timeliness Instructions section of the Medi-Cal Provider Manual.