Current Report Articles
Hospital OPPS: New Coronavirus Specimen Collection Code

Laboratory Technician (May 8, 2020) – The Centers for Medicare & Medicaid Services has established a new Level II HCPCS code for billing Medicare under the Outpatient Prospective Payment System, to identify and pay for specimen collection for COVID-19 testing.

The new code, C9803, hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source, is effective for services provided on or after March 1, 2020.

OPPS claims received on or after May 1, 2020, with Coronavirus Specimen Collection HCPCS Codes G2023 and G2024 will be returned with edit W7062. Resubmit returned claims as a packaged service to include Code C9803, when appropriate. Additional information is available at the CMS website.
--Sally Othmer