September 3, 2020: Outpatient Hospital Providers: COVID-19 Codes Update

September 3, 2020: Attention Outpatient Hospital Providers: With the COVID-19 pandemic there have been new HCPC codes implemented to report for services related to the virus: U0003, U0004, 86769 and 87426. MDHHS will have these codes loaded into the system in our October 2, 2020 release. Until then claims with the above codes will deny/pay at zero with reason code A8- Ungroupable. Once the system is updated, MDHHS will adjust/resurrect the affected claims. In addition, according to Medicaid’s wrap around fee schedule, HCPCS C9803 is non-covered and will continue to deny at the line.