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Can funds be used for remote screening activities even if they do not administer an actual test?

Can funds be used for remote screening activities even if they do not administer an actual test?

Yes. For diagnostic testing and testing-related services, claims submitted for testing-related visits rendered in an office, urgent care or emergency room, or via telehealth are eligible for reimbursement if they include one of the following diagnosis codes:

  • Z03.818 - Encounter for observation for suspected exposure to other biological agents ruled out (possible exposure to COVID-19)
  • Z20.828 - Contact with and (suspected) exposure to other viral communicable (confirmed exposure to COVID-19)
  • Z11.59 - Encounter for screening for other viral diseases (asymptomatic)
  • Z11.52 - Encounter for screening for COVID-19 (asymptomatic)
  • Z20.822 - Contact with and (suspected) exposure to COVID-19
  • Z86.16 - Personal history of COVID-19
Eligibility Questions
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