Billing Beat

Medi-Cal News: ICD-10-CM Code Related to COVID-19 End-Dated

October 1, 2022

Effective for dates of service on or after April 1, 2022, the Centers for Medicare & Medicaid Services (CMS) has end-dated one ICD-10-CM code related to COVID-19. More information can be found on the ICD-10 Latest News page of the CMS website.

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.

From CMS: 3 new diagnosis codes, Z28.310, Z28.311 and Z28.39, into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), for reporting COVID-19 vaccination status effective April 1, 2022. https://www.cms.gov/medicare/icd-10/2022-icd-10-cm

Source: https://files.medi-cal.ca.gov/pubsdoco/newsroom/newsroom_31132_86.aspx

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