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Coronavirus (COVID-19)

Vaccines, monoclonal antibody infusions, and treatments
4.14.22 – COVID-19: New codes for Moderna vaccine booster shots
3.10.22 – COVID-19 Monoclonal antibodies: Revised emergency use authorization for evusheld
2.18.22 – COVID-19 Monoclonal antibodies: FDA authorized bebtelovimab external link
2.10.22 – COVID-19: New HCPCS code for convalescent plasma in outpatient settings external link
1.27.22 – COVID-19: Tools to determine if vaccine requirements apply external link
1.20.22 – COVID-19: Long-term care, RHCs, & FQHCs external link
1.13.22 – COVID-19: Long-term care, remdesivir, & booster doses external link
1.7.22 – Special Edition – COVID-19: New HCPCS code for remdesivir antiviral medication external link
12.23.21 – COVID-19 vaccine access in long-term care settings external link
12.2.21 – CMS encourages people with Medicare to get COVID-19 vaccine booster shot
11.4.21 – COVID-19: Changes for Medicare Advantage plan claims starting January 1 external link
11.4.21 – Special Edition – Biden-Harris administration issues emergency regulation requiring COVID-19 vaccination for health care workers external link
10.22.21 – Special Edition – COVID-19: Moderna and Jansen (J&J) booster shots external link
10.14.21 – Pneumococcal conjugate vaccine, 20 valent
more 9.24.21 – CMS will pay for COVID-19 booster shots, eligible consumers can receive at no cost external link
more 9.23.21 – COVID-19: Compare nursing homes by vaccination rate external link
9.16.21 – COVID-19 vaccines: Act now external link
8.24.21 – Special Edition – CMS expands Medicare payments for at-home COVID-19 vaccinations external link
8.16.21 - Special Edition - COVID-19 vaccines additional doses: codes & payment external link
8.13.21 – Special Edition -- COVID-19 vaccine additional dose external link
7.22.21 – COVID-19: EUA for tocilizumab monoclonal antibody product external link
6.17.21 – COVID-19: EUAs for monoclonal antibody products external link
5.11.21 – Special Edition – CMS expanding efforts to grow COVID-19 vaccine confidence & uptake amongst nation’s most vulnerable external link
5.6.21 – Special Edition – CMS increases Medicare payment for COVID-19 monoclonal antibody infusions external link
4.14.21 – Special Edition – J&J COVID-19 vaccine: Health alert external link
more 12.22.20 – Special Edition – COVID-19 vaccine codes: Updated effective date for Moderna external link
more 12.14.20 – Special Edition – COVID-19 vaccine codes: Updated effective date for Pfizer-BioNtech external link
• Billing COVID-19 convalescent plasma in outpatient setting
• Billing Veklury (remdesivir) antiviral medication in outpatient settings
• YouTube video: Billing Part A for COVID-19 vaccine and mAb infusion administration external link
• YouTube video: Billing Part B for COVID-19 vaccine and mAb infusion administration external link
• 2022 payment rates for COVID-19 vaccine and monoclonal administration
• Billing for COVID-19 vaccine home administration
• Billing CC 90 or 91
• COVID-19 vaccine and infusion billing guidance for FQHCs and RHCs
• Billing the taxonomy code
• COVID-19 billing alerts
• Billing COVID-19 vaccine and administration FAQs
• Medicare enrolled ambulance suppliers administering the COVID-19 vaccine
• Are you enrolled to bill COVID-19 vaccine and monoclonal antibody administrations?
• COVID-19 vaccine and monoclonal antibody billing for Part A providers
• COVID-19 vaccine and monoclonal antibody billing for Part B providers
• COVID-19 roster billing for Part B providers
• 2021 payment rates for COVID-19 vaccine and monoclonal administration
• 2020 payment rates for COVID-19 vaccine and monoclonal administration
• CMS COVID-19 provider toolkit external link
• CDC COVID-19 vaccination communication toolkit for medical centers, clinics, and clinicians external link
• FDA COVID-19 vaccines webpage external link
Top requested information
Billing FAQs
9.8.21 -Check patient eligibility prior to submitting claims to prevent denials
Modifiers used during the COVID-19 public health emergency pdf file
more COVID-19 FAQs on Medicare fee-for-service billing external pdf file
Provider relief actions in response to COVID-19
more 3-10-22: Accelerated and advance (AAP) repayment reminder
more 10-09-20: Learn about CMS’ amended repayment process for accelerated and advance repayments
more Provider enrollment assistance in response to COVID-19
Coronavirus (COVID-19) current emergencies, waivers and flexibilities
more Current emergencies external link
more Waivers and flexibilities external link
more Update concerning the PHE in response to the 2019 novel coronavirus (COVID-19) pandemic
CMS announces actions to address spread of coronavirus
CMS calls on all health care providers to activate infection control practices and issues guidance to inspectors as they inspect facilities affected by Coronavirus.
On March 4, the Centers for Medicare & Medicaid Services (CMS) announced several actions aimed at limiting the spread of the novel coronavirus 2019 (COVID-19).
General Articles and Resources
more A framework of mitigation external pdf file
more Centers for Disease Control and Prevention (CDC) COVID-19 external link
more Provider enrollment assistance in response to COVID-19
more Workplace, school and home guidance external link
more Coronavirus (COVID-19) partner toolkit external link
Suspension of 2% sequestration for biweekly PIP and pass-through payments (Part A)
Rural health clinic productivity standard exceptions for COVID-19 (Part A)
Telehealth
more 05.08.20 - Medicare Coverage and Payment of Virtual Services external link
more 04.23.20 - COVID-19: Correctly billing telehealth and telephone-only services during the emergency
more 03.23.20 - Coverage and payment related to COVID-19 Medicare external pdf file
more 03.17.20 - Medicare telemedicine health care provider fact sheet external link
more 03.17.20 - President Trump expands telehealth benefits for Medicare beneficiaries during COVID-19 outbreak external link
more 03.09.20- Press release: Telehealth benefits in Medicare are a lifeline for patients during coronavirus outbreak external link
MLN Special Editions and Articles
Go to the CMS MLN Connects webpage external link to view all MLN Connects newsletters.
5.5.22 - COVID-19: Patients can get free over-the-counter tests from participating providers external link
4.4.22 – Biden-Harris administration announces a new way for Medicare beneficiaries to get free over-the-counter COVID-19 tests external link
11.18.21 – COVID-19: Changes to nursing home visitation & survey activities external link
more 9.9.21 – SNF: WBT & COVID-19 reminder external link
5.6.21 – COVID-19: Ambulance treatment in place waiver external link
4.22.21 – COVID-19: Partnership to vaccinate dialysis patients & health care personnel external link
4.20.21 – Special Edition: COVID-19 update: FDA revoked the EUA for bamlanivimab when administered alone external link
4.1.21 – Repayment of COVID-19 accelerated and advance payments external link
3.15.21 – Special Edition: Medicare payment increase for COVID-19 vaccine external link
3.10.21 – Special Edition: CMS updates nursing home guidance with revised visitation recommendations external link
2.18.21 – COVID-19: EUA for Antibody Treatment external link
more 12.28.20 – Special Edition: Medicare FFS Claim: 2% payment adjustment (sequestration) suspended through March external link
12.23.20 – MM12070 - Instructions to Medicare administrative contractors (MACs) on COVID-19 emergency declaration blanket waivers for Medicare-dependent, small rural hospitals and sole community hospitals external pdf file
12.18.20 – Special Edition: COVID-19: Add-on payment for new treatments external link
12.09.20 – In case you missed it: CMS announces guidance for Medicare coverage of COVID-19 antibody treatment external link
11.19.20 – Nursing homes: Take COVID-19 training external link
11.12.20 - COVID-19: Non-physician practitioner billing for audio services external link
more 11.09.20 - Medicare fee-for-service (FFS) response to the public health emergency on the coronavirus (COVID-19) (SE 20011 - revised 11/09/20) external pdf file
11.05.20 - COVID-19 vaccine: Find out how to prepare external link
10.28.20 - Special Edition – Coverage of life-saving COVID-19 vaccines & therapeutics external link
10.16.20 - Special Edition – Enforcement discretion relating to certain pharmacy billing external link
10.15.20 - Special Edition – Trump administration drives telehealth services in Medicaid and Medicare external link
10.15.20 - COVID-19 testing: Protecting integrity external link
10.08.20 - Special Edition – CMS announces new repayment terms for Medicare loans made to providers during COVID-19 external link
08.13.20 - COVID-19: CMS/CDC nursing home training series webcast – August 13 external link
more 07.30.20 - Special Edition – Payment for COVID-19 counseling, reporting hospital therapeutics, out-of-pocket drug costs external link
more 07.23.20 - Trump administration announces new resources to protect nursing home residents against COVID-19 external link
more 07.17.20 - COVID-19: Nursing Home Testing, SNF Benefit Period Waiver external link
more 07.16.20 - Nursing homes & COVID: Five things to know, additional resources, training external link
more 07.06.20 - ESRD PPS CY 2021 proposed rule; COVID-19: New and expanded flexibilities for RHCs & FQHCs external link
more 06.26.20 - COVID-19: SNF benefit period waiver, HHAs proposed rule, ending nursing home blanket waiver external link
more 06.25.20 - COVID-19: New data details impacts on Medicare beneficiaries external link
more 06.19.20 - Medicare coverage of COVID-19 testing for nursing home residents and patients external link
more 06.18.20 - COVID-19 diagnostic laboratory tests: Billing for clinician services external link
more 06.11.20 - COVID-19: Reopening health care facilities external link
more 06.01.20 - COVID-19: Using the CR modifier and DR condition code external link
more 05.29.20 - New COVID-19 FAQs on Medicare fee-for-service billing external link
more 05.19.20 - COVID-19: Payment for lab tests, safely reopening nursing homes, lab & ambulance claims external link
more 05.15.20 - COVID-19: Nursing home deadline, telephone E&M visits, hospital time studies, and calls external link
more 05.12.20 - COVID-19: Additional waivers, price transparency, and CMS letter to nursing homes external link
more 05.08.20 - COVID-19: Nursing home reporting, updated telehealth video, pharmacies & other suppliers can enroll as labs, IRF flexibilities external link
more 05.07.20 - More COVID-19 updates external link
more 04.30.20 - COVID-19: Second round of sweeping changes, RHC & FQHC flexibilities, EMTALA external link
more 04.27.20 - COVID-19: CMS reevaluates Accelerated Payment Program and suspends Advance Payment Program external link
more 04.20.20 - COVID-19: Nursing home transparency, recommendations for areas with low incidence of disease external link
more 04.17.20 - COVID-19: RHC & FQHC flexibilities, increased payment for lab tests, hospital waivers, call audio and transcript external link
more 04.15.20 - COVID-19: Reprocessing hospital claims, essential diagnostic services, non-invasive ventilators external link
more 04.14.20 - MM11759 – Quarterly update to the fiscal year 2020 inpatient psychiatric facilities pricer (contains update to the comorbidity tables to include the new ICD-10 diagnosis code, for the novel coronavirus disease, COVID-19, U07.1, effective for claims with discharges occurring on or after April 1, 2020) external pdf file
more 04.10.20 - COVID-19: Infection control, maximizing workforce, updated Q&A, CS modifier for cost-sharing, payment adjustment suspended external link
more 04.09.20 - Important COVID-19 updates external link
more 04.07.20 - COVID-19: Telehealth video, coinsurance and deductible waived, ASC attestations, ambulance modifiers, lessons from front lines, MLN call today external link
more 04.03.20 - COVID-19: Telehealth billing correction, nursing home recommendations, billing for multi-function ventilators, new ICD-10-CM diagnosis code external link
more 03.31.20 - COVID-19: Regulatory changes, telehealth billing, and specimen collection codes external link
more 03.30.20 - COVID-19: Financial relief, nursing home telehealth, quality reporting, clinical laboratories, hospital data sharing external link
more 03.26.20 - COVID-19: Enrollment relief, open payments, beneficiary notices external link
more 03.26.20 - COVID-19: New targeted plan for health care facility inspections external link
more 03.23.20 - COVID-19: Relief for quality reporting programs and provider enrollment external link
more 03.20.20 - REVISED - Medicare fee-for-service (FFS) response to the public health emergency on the coronavirus (COVID-19) external pdf file
more 03.20.20 - COVID-19: Telehealth and non-essential procedures external link
more 03.17.20 - President Trump expands telehealth benefits for Medicare beneficiaries during COVID-19 outbreak external link
more 03.16.20 - COVID-19: FFS response and nursing home visitor guidance external link
more 03.13.20 - COVID-19: Test pricing, diagnostic lab tests, pricing & codes, and EHB coverage external link
more 03.09.20 - COVID-19 response: CMS issues FAQs to assist Medicare providers external link
more 03.06.20 - CMS develops additional code for coronavirus lab tests external link
more 03.04.20 - CMS announces actions to address spread of coronavirus external link
All Providers
more 03.13.20 - Frequently asked questions for state survey agency and accrediting organization coronavirus disease 2019 (COVID-19) survey suspension external pdf file
more 03.13.20 - Guidance for infection control and prevention of coronavirus disease 2019 (COVID-19) in nursing homes (Revised) external link
more 03.10.20 - Guidance for use of certain industrial respirators by health care personnel external link
more 03.09.20 - Emergency Medical Treatment and Labor Act (EMTALA) requirements and implications related to coronavirus disease 2019 (COVID-19) external link
more 02.20.20 - ICD-10-CM official coding guidelines – supplement coding encounters related to COVID-19 coronavirus outbreak effective February 20, 2020 external pdf file
more 02.06.20 - Information for health care facilities concerning 2019 novel coronavirus illness external link
Laboratories
11.20.20 - COVID-19: Allowances for laboratory test codes U0001-U0004, 0223U, 0224U, 0225U, 0226U, 0240U, 0241U, 86408, 86409, 86413, 87426, 87428, 87635, 87636, 87637 and 87811 external link
06.04.20 – Duplicate editing for COVID-19 laboratory services
05.12.20 - Medicare pharmacies and other suppliers may temporarily enroll as independent clinical diagnostic laboratories to help address COVID-19 testing
more 04.28.20 - COVID-19: Allowances for laboratory test codes U0001-U0004 and 87635
more 04.15.20 - CMS increases Medicare payment for high-production coronavirus lab tests external link
more 02.06.20 - Notification to surveyors of the authorization for emergency use of the CDC 2019-novel coronavirus (2019-nCOV) real-time RT-PCR diagnostic panel assay and guidance for authorized laboratories external link
End-Stage Renal Disease (ESRD) Facilities
more 03.10.20 - Guidance for infection control and prevention of coronavirus disease 2019 (COVID-19) in dialysis facilities external link
Press Releases
more As part of the ongoing efforts taken in response to the 2019 novel coronavirus (COVID-19), the Centers for Medicare & Medicaid Services (CMS) provides daily press releases. To view a comprehensive listing of press releases, visit the CMS Newsroom. external link
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Part B