COVID-19 Modifiers and Condition Code

There are so many coding resources on COVID-19, and it can be overwhelming. Below are some helpful tools for physicians, providers, hospitals, and suppliers who bill Medicare Fee-For-Service (FFS) claims during the public health emergency (PHE):

Looking for the use of modifier "95", "CS", or "CG"? Refer to the document below for assistance with deciding which modifier to use when billing UB-04 or the CMS-1500.

The Provider Outreach and Education A/B Medicare Administrative Contractor Workgroup developed this material. Our joint effort ensures consistent communication and education so that providers and physicians have the information they need to submit claims appropriately and receive proper payment in a timely manner.


            Last Updated Wed, 22 Jul 2020 14:50:53 +0000